Provider Demographics
NPI:1578147955
Name:REM ALABAMA LLC
Entity Type:Organization
Organization Name:REM ALABAMA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STATE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:TREBBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-362-7215
Mailing Address - Street 1:500 INTERSTATE PARK DR STE 509
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36109-5456
Mailing Address - Country:US
Mailing Address - Phone:813-480-9952
Mailing Address - Fax:
Practice Address - Street 1:500 INTERSTATE PARK DR STE 509
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36109-5456
Practice Address - Country:US
Practice Address - Phone:813-480-9952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities