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Organization
ALABAMA DEPARTMENT OF REHABILITATION SERVICES
Active
Organization
ALABAMA DEPARTMENT OF REHABILITATION SERVICES
Active
Other names
Children's Rehabilitation Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL STEVEN SHIVERS (COMMISSION)
(334) 613-2200
Entity
Organization
Contact information
Practice address
2129 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
(334) 613-2200
(334) 613-1973
Mailing address
2129 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
(334) 613-2200
(334) 613-1973
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-18188
ANESTHESIOLOGY
AL
01
—
515-18190
AUDIOLOGY
AL
01
—
515-18191
CARDIOLOGY
AL
01
—
515-18198
COLON-RECTAL
AL
01
—
515-18199
UNSPECIFIED
AL
01
—
515-18200
DENTISTRY
AL
01
—
515-18201
GASTROENTEROLOGY
AL
01
—
515-18202
GENERAL SURGERY
AL
01
—
515-18203
GENETICS
AL
01
—
515-18204
HEMATOLOGY-ONCOLOGY
AL
01
—
515-18205
INTERNAL MEDICINE
AL
01
—
515-18206
MEDICAL SUPPLY
AL
Enumeration date
01/22/2007
Last updated
08/22/2020
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