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Contact Information

SHOALS COMMITTEE ON PROGRAMS AND EMPLOYMENT FOR THE MENTALLY RETARDED
4129 HELTON DR
FLORENCE, AL35630-6207
 Phone: 256-768-0901
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
Indicates primary specialty

NPI Profile & details for SHOALS COMMITTEE ON PROGRAMS AND EMPLOYMENT FOR THE MENTALLY RETARDED

NPI # 1992256952
LBN Legal business name SHOALS COMMITTEE ON PROGRAMS AND EMPLOYMENT FOR THE MENTALLY RETARDED
Authorized official ARVY DUPUY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/14/2016
Last updated 10/14/2016 - About 10 years ago
Identifiers
AL License # 0961B
AL Medicaid 1194905687
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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