Organization
MONTGOMERY AIDS OUTREACH, INC.
Active
Other names
COPELAND CARE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNE JORDAN-REYNOLDS (EXECUTIVE DIRECTOR)
(334) 386-0853
Entity
Organization
Contact information
Practice address
2900 MCGEHEE RD, MONTGOMERY, AL 36111
(334) 280-3349
(334) 356-1426
Mailing address
PO BOX 11087, MONTGOMERY, AL 36111-0087
(334) 280-3349
(334) 356-1426
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
L5111 TYPE R
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529401770
—
AL
Enumeration date
12/22/2005
Last updated
11/10/2022
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