Healthcare Provider Details

I. General information

NPI: 1013357417
Provider Name (Legal Business Name): HUFF INDUSTRIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2013
Last Update Date: 06/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55260 COUNTY ROAD 21
STOCKTON AL
36579-4144
US

IV. Provider business mailing address

55260 COUNTY ROAD 21
STOCKTON AL
36579-4144
US

V. Phone/Fax

Practice location:
  • Phone: 251-508-0872
  • Fax:
Mailing address:
  • Phone: 251-508-0872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number339009066
License Number StateAL

VIII. Authorized Official

Name: WILLIE ALFRED HUFF JR.
Title or Position: PESIDENT/CEO
Credential:
Phone: 251-508-0872