Provider Demographics
NPI:1023752482
Name:NORTHWEST ALABAMA COUNCIL OF LOCAL GOVERNMENTS
Entity type:Organization
Organization Name:NORTHWEST ALABAMA COUNCIL OF LOCAL GOVERNMENTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-389-0555
Mailing Address - Street 1:PO BOX 2603
Mailing Address - Street 2:
Mailing Address - City:MUSCLE SHOALS
Mailing Address - State:AL
Mailing Address - Zip Code:35662-2603
Mailing Address - Country:US
Mailing Address - Phone:256-389-0500
Mailing Address - Fax:256-389-0596
Practice Address - Street 1:103 STUDENT DR
Practice Address - Street 2:
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661-3204
Practice Address - Country:US
Practice Address - Phone:256-389-0500
Practice Address - Fax:256-389-0596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-22
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management