Provider Demographics
NPI:1679163364
Name:A&O HEALTH CAREER CENTER
Entity Type:Organization
Organization Name:A&O HEALTH CAREER CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NATEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-725-6917
Mailing Address - Street 1:1141 MONTLIMAR DR STE 2012
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-1720
Mailing Address - Country:US
Mailing Address - Phone:251-725-6917
Mailing Address - Fax:
Practice Address - Street 1:1141 MONTLIMAR DR STE 2012
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-1720
Practice Address - Country:US
Practice Address - Phone:251-725-6917
Practice Address - Fax:251-317-6300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical LaboratoryGroup - Single Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0000000OtherNOT APPLICABLE