Provider Demographics
NPI:1285025411
Name:ALABAMA DEPARTMENT OF SENIOR SERVICES
Entity Type:Organization
Organization Name:ALABAMA DEPARTMENT OF SENIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMISSIONER
Authorized Official - Prefix:
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:G
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-242-5743
Mailing Address - Street 1:201 MONROE ST
Mailing Address - Street 2:SUITE 350
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36104-3735
Mailing Address - Country:US
Mailing Address - Phone:334-242-5743
Mailing Address - Fax:
Practice Address - Street 1:201 MONROE ST
Practice Address - Street 2:SUITE 350
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36104-3735
Practice Address - Country:US
Practice Address - Phone:334-242-5743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-10
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL008500520Medicaid