Organization
GREATER ALABAMA 310 BOARD
Active
Other names
Jefferson County Intellectual & Developmental Disabilities
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KENDRA EIDSON (EXECUTIVE DIRECTOR)
(205) 945-9310
Entity
Organization
Contact information
Practice address
117 GEMINI CIRCLE, SUITE 407, BIRMINGHAM, AL 35209
(205) 945-9310
(205) 945-8527
Mailing address
117 GEMINI CIRCLE, SUITE 407, BIRMINGHAM, AL 35209
(205) 945-9310
(205) 945-8527
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
591500033
—
AL
Enumeration date
10/18/2006
Last updated
01/26/2024
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