Provider Demographics
NPI:1215602859
Name:A. D. DALE SERVICES
Entity Type:Organization
Organization Name:A. D. DALE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:D
Authorized Official - Last Name:DALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-441-7744
Mailing Address - Street 1:2152 AIRPORT BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-1751
Mailing Address - Country:US
Mailing Address - Phone:251-441-7744
Mailing Address - Fax:
Practice Address - Street 1:2152 AIRPORT BLVD STE 104
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-1751
Practice Address - Country:US
Practice Address - Phone:251-441-7744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health