Provider Demographics
NPI:1801217625
Name:AEGIS FOUNDATION, INC.
Entity Type:Organization
Organization Name:AEGIS FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:D
Authorized Official - Last Name:THAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-871-2007
Mailing Address - Street 1:2910 LINDEN AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-2531
Mailing Address - Country:US
Mailing Address - Phone:205-871-2007
Mailing Address - Fax:
Practice Address - Street 1:2910 LINDEN AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-2531
Practice Address - Country:US
Practice Address - Phone:205-871-2007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-20
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable