# EASTER SEALS ALABAMA, INC. EASTER SEALS WEST ALABAMA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Easter Seals West Alabama
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972608941
- **Authorized official:** RONNY B. JOHNSTON (ADMINISTRATOR)
- **Authorized official phone:** (205) 759-1211

## Contact information

- **Practice address:** 1110 DR. EDWARD HILLARD DRIVE, TUSCALOOSA, AL 35401-3207
- **Practice address phone:** (205) 759-1211
- **Practice address fax:** (205) 349-1162
- **Mailing address:** PO BOX 2817, TUSCALOOSA, AL 35403-2817
- **Mailing address phone:** (205) 759-1211
- **Mailing address fax:** (205) 349-1162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 12008 | AL | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 07/21/2021