Healthcare Provider Details

I. General information

NPI: 1699686428
Provider Name (Legal Business Name): STEWART SERVICE COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15820 WIRE RD
COALING AL
35453-2637
US

IV. Provider business mailing address

11600 BELLE MEADE CIR
NORTHPORT AL
35475-4894
US

V. Phone/Fax

Practice location:
  • Phone: 706-326-1683
  • Fax:
Mailing address:
  • Phone: 706-326-1683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA STEWART
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 706-326-1683