Provider Demographics
NPI:1326111337
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:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-242-5743
Mailing Address - Street 1:770 WASHINGTON AVE
Mailing Address - Street 2:RSA PLAZA SUITE 470
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36130-1851
Mailing Address - Country:US
Mailing Address - Phone:334-242-5743
Mailing Address - Fax:
Practice Address - Street 1:770 WASHINGTON AVE
Practice Address - Street 2:RSA PLAZA SUITE 470
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36130-1851
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:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health