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
—
—
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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