OrganizationActive
A&e Supported Living, Inc.
NPI 1497808539 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Mobile, AL
Provider details
- NPI number
- 1497808539
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Melissa Ezell, Ceo(251) 232-2548
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
600 Bel Air Blvd
Suite 240
Mobile, AL 36606-3501
Phone: (251) 232-2548
Fax: (251) 661-5080
Approximate (ZIP-level) locationGet directions
Mailing address
3204 Wellborne Dr E
Mobile, AL 36695-3273
Registry dates
- Enumerated
- 2007-01-20
- Last updated
- 2008-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.