Omega Supported Living Services

NPI #1851660781 in Mobile, Alabama

Provider Information

NPI Number: 1851660781
Entity Type: Organization
Organization Name: Omega Supported Living Services
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 21, 2011
Last Updated: Dec 21, 2011

Practice Location

Address: 404 WESTWOOD ST
City: Mobile
State: Alabama
ZIP Code: 36606-6504
Phone: (228) 217-6329

Authorized Official

Name: LESLIE SMITH
Title: CEO
Phone: (228) 217-6329

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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