| NPI | 1306399175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE JACKSON Owner 256-390-3427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |