Provider Demographics
NPI:1043075237
Name:ALABAMA DEPARTMENT OF PUBLIC HEALTH
Entity type:Organization
Organization Name:ALABAMA DEPARTMENT OF PUBLIC HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STATE HOME CARE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHOONA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANG
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN,MHA,DHED
Authorized Official - Phone:334-206-5696
Mailing Address - Street 1:PO BOX 303017
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36130-3017
Mailing Address - Country:US
Mailing Address - Phone:334-206-5691
Mailing Address - Fax:334-206-5719
Practice Address - Street 1:2000 COUNTY SERVICES DR
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-6149
Practice Address - Country:US
Practice Address - Phone:334-206-5691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALABAMA DEPARTMENT OF PUBLIC HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health