Provider Demographics
NPI:1013668920
Name:TOWN OF REHOBETH
Entity Type:Organization
Organization Name:TOWN OF REHOBETH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:TABATHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-671-5829
Mailing Address - Street 1:221 MALVERN RD
Mailing Address - Street 2:
Mailing Address - City:REHOBETH
Mailing Address - State:AL
Mailing Address - Zip Code:36301-7331
Mailing Address - Country:US
Mailing Address - Phone:334-671-5829
Mailing Address - Fax:334-673-3969
Practice Address - Street 1:235 MALVERN RD
Practice Address - Street 2:
Practice Address - City:REHOBETH
Practice Address - State:AL
Practice Address - Zip Code:36301-7331
Practice Address - Country:US
Practice Address - Phone:334-702-8832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWN OF REHOBETH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-12
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport