Provider Demographics
NPI:1114196532
Name:STATE OF ALABAMA
Entity Type:Organization
Organization Name:STATE OF ALABAMA
Other - Org Name:DALE COUNTY DHR
Other - Org Type:Other Name
Authorized Official - Title/Position:DEPUTY COMMISSIONER FISCAL & ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:PARRIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:CORLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-242-8395
Mailing Address - Street 1:50 N RIPLEY ST
Mailing Address - Street 2:FAMILY SERVICES DIVISION
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36130-1001
Mailing Address - Country:US
Mailing Address - Phone:334-242-1310
Mailing Address - Fax:334-242-0198
Practice Address - Street 1:513 CARROLL AVENUE
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:AL
Practice Address - Zip Code:36360-0447
Practice Address - Country:US
Practice Address - Phone:334-445-4900
Practice Address - Fax:334-774-1590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare