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1538261326 NPI number — BURT'S PLACE HOME FOR BOYS

NPI Number: 1538261326
Health Care Provider/Practitioner: BURT'S PLACE HOME FOR BOYS

Information about “1538261326” NPI (BURT'S PLACE HOME FOR BOYS) exists in 1538261326 in HTML format HTML  |  1538261326 in plain Text format TXT  |  1538261326 in PDF (Portable Document Format) PDF  |  1538261326 in an XML format XML  formats.

NPI Number : 1538261326 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538261326",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BURT'S PLACE HOME FOR BOYS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 2295",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GADSDEN",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35903-0295",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "256-543-2036",
    "MailingAddressFaxNumber": "256-543-9677",
    "FirstLinePracticeLocationAddress": "901 TUSCALOOSA AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GADSDEN",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35901-3170",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "256-543-2036",
    "PracticeLocationAddressFaxNumber": "256-543-9677",
    "EnumerationDate": "09/02/2006",
    "LastUpdateDate": "06/17/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WELLMAN",
    "AuthorizedOfficialFirstName": "MAGDALENE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "256-543-2036",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "322D00000X",
        "TaxonomyName": "Emotionally Disturbed Childrens' Residential Treatment Facility",
        "LicenseNumber": "032931",
        "LicenseNumberStateCode": "AL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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