Provider Demographics
NPI:1639693443
Name:ALABAMA DEPARTMENT OF PUBLIC HEALTH
Entity Type:Organization
Organization Name:ALABAMA DEPARTMENT OF PUBLIC HEALTH
Other - Org Name:LEE COUNTY HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:STATE HEALTH OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-206-5200
Mailing Address - Street 1:201 MONROE ST STE 1200
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36104-3830
Mailing Address - Country:US
Mailing Address - Phone:334-206-5677
Mailing Address - Fax:334-206-5985
Practice Address - Street 1:1801 CORPORATE DR
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-6861
Practice Address - Country:US
Practice Address - Phone:334-745-5765
Practice Address - Fax:334-745-9825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-02
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health