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Organization
WEST ALABAMA REGIONAL COMMISSION
Active
Organization
WEST ALABAMA REGIONAL COMMISSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LAKE (EXECUTIVE DIRECTOR)
(205) 333-2990
Entity
Organization
Contact information
Practice address
4200 HIGHWAY 69 N, NORTHPORT, AL 35473-3504
(205) 333-2990
(205) 333-2713
Mailing address
PO BOX 509, NORTHPORT, AL 35476-0509
(205) 333-2990
(205) 333-2713
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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