# ALABAMA DEPARTMENT OF REHABILITATION SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Children's Rehabilitation Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134273063
- **Authorized official:** MR. RUSSELL STEVEN SHIVERS (COMMISSION)
- **Authorized official phone:** (334) 613-2200

## Contact information

- **Practice address:** 2129 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
- **Practice address phone:** (334) 613-2200
- **Practice address fax:** (334) 613-1973
- **Mailing address:** 2129 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
- **Mailing address phone:** (334) 613-2200
- **Mailing address fax:** (334) 613-1973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 08/22/2020

## 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 |