| NPI | 1295117125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA M. JACKSON Registered. Nurse 205-502-7261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AL 1150840) |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2015-06-27 |