| NPI Details | |
|---|---|
| NPI | 1053416636 |
| Enumeration Date | 09/14/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | HERMAN F. HERMAN |
| Position | DIRECTOR |
| Phone | (334) 774-5132 |
| Fax | (334) 774-3436 |
| Practice Location | |
|---|---|
| 2047 STUART TARTER RD OZARK AL, 36360-7557, US |
|
| Phone | (334) 774-5132 |
| Fax | (334) 774-3436 |
| Business Location | |
|---|---|
| 2047 STUART TARTER RD OZARK AL, 36360-7557, US |
|
| Phone | (334) 774-5132 |
| Fax | (334) 774-3436 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 251B00000X |
| License State | Alabama |
| License Number | 251B00000X |
| Remove 1053416636 NPI Number | |
According to our database, Dale County Mental Retardation Board NPI is 1053416636, taxonomy code is 251B00000X and license number is 251B00000X, license state is located at Alabama. Dale County Mental Retardation Board physically located at 2047 Stuart Tarter Rd, Ozark AL, 36360-7557. NPI Number 1033115704 has the healthcare provider type.
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1053416636 NPI number is provided on an as is basis without warranty of any kind. 1053416636 is maintained by the National Plan & Provider Enumeration System. The contents of Dale County Mental Retardation Board are for informational purposes only.
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