Provider Demographics
NPI:1083230817
Name:SOUTH HIGHLAND ADULT DAY CARE CENTER
Entity Type:Organization
Organization Name:SOUTH HIGHLAND ADULT DAY CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-933-2332
Mailing Address - Street 1:2035 HIGHLAND AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-3801
Mailing Address - Country:US
Mailing Address - Phone:205-933-2332
Mailing Address - Fax:205-933-7361
Practice Address - Street 1:2035 HIGHLAND AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-3801
Practice Address - Country:US
Practice Address - Phone:205-933-2332
Practice Address - Fax:205-933-7361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care