A&E Supported Living, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

A&E SUPPORTED LIVING, INC.

Practice address

600 Bel Air Blvd
Suite 240
Mobile, AL 36606-3501

Phone

(251) 232-2548

Fax

(251) 661-5080

NPI assigned

Jan 20, 2007

Last updated

Jun 24, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Melissa Ann Ezell, MS

Title

Ceo

Phone

(251) 232-2548

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1497808539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 WELLBORNE DR E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953273",
            "telephone_number": "251-232-2548",
            "fax_number": "251-661-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BEL AIR BLVD",
            "address_2": "SUITE 240",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063501",
            "telephone_number": "251-232-2548",
            "fax_number": "251-661-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&E SUPPORTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-20",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "EZELL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "251-232-2548",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Mobile, AL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.