Provider Demographics
NPI:1336688738
Name:ALA ADAPTIVE AIDS, LLC
Entity Type:Organization
Organization Name:ALA ADAPTIVE AIDS, LLC
Other - Org Name:AMERICAN LIFT AIDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-475-8358
Mailing Address - Street 1:2310 CALDER ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-2015
Mailing Address - Country:US
Mailing Address - Phone:409-832-3400
Mailing Address - Fax:
Practice Address - Street 1:2407 WSW LOOP 323
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-9208
Practice Address - Country:US
Practice Address - Phone:903-581-8844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HANDICAPPED LIFT AIDS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-17
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies