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NPI Code Detail

MEDICARE: GROUP HOMES FOR CHILDREN, INC

MEDICARE: GROUP HOMES FOR CHILDREN, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility644AL
2322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility031802AL

Other Identifiers

General Provider Information

NPI Number : 1932215167
Entity Type Code : Organization
Provider Name (Legal Business Name) : GROUP HOMES FOR CHILDREN, INC
Provider Business Mailing Address
First Line : 1426 S COURT ST
Second Line :
City : MONTGOMERY
State : AL
Zip : 36104-5412
Country : US
Telephone Number : 334-262-2953
Fax Number : 334-264-2050
Provider Business Practice Location Address
First Line : 1426 S COURT ST
Second Line :
City : MONTGOMERY
State : AL
Zip : 36104-5412
Country : US
Telephone Number : 334-262-2953
Fax Number : 334-264-2050
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. WILLIAM PATRICK VEST
Credential :
Telephone Number : 334-262-2953
Provider Enumeration Date : 08/21/2006
Last Update Date : 06/16/2008

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Directions to “GROUP HOMES FOR CHILDREN, INC ” Practice Location

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