| NPI | 1497293559 |
|---|---|
| Former Legal Business Name | RESIDENTIAL CARE HOME |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE THOMAS WALLS Owner 334-349-6916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |