Healthcare Provider Details

I. General information

NPI: 1447418363
Provider Name (Legal Business Name): NOBLES GROUP HOMES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2008
Last Update Date: 05/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 SPRINGHILL AVE
MOBILE AL
36604-3202
US

IV. Provider business mailing address

6902 PROVIDENCE ESTATES DR S
MOBILE AL
36695-4612
US

V. Phone/Fax

Practice location:
  • Phone: 251-438-1340
  • Fax: 251-438-2052
Mailing address:
  • Phone: 251-639-4661
  • Fax: 251-438-2052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateAL

VIII. Authorized Official

Name: MR. DEVIN DEMETRIUS NOBLES
Title or Position: PRESIDENT
Credential:
Phone: 251-438-1340