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DOTHAN HOUSTON COUNTY MR BOARD INC. NPI 1063701571


NPI Information

NPI: 1063701571
Provider Name: DOTHAN HOUSTON COUNTY MR BOARD INC.

Doing Business As: VAUGHN BLUMBERG SERVICES

Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
2715 FLYNN RD
DOTHAN, AL
ZIP 36303
Phone: (334) 793-3102
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DOTHAN HOUSTON COUNTY MR BOARD INC. is a day training developmentally disabled services in Dothan, AL. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. DOTHAN HOUSTON COUNTY MR BOARD INC. NPI is 1063701571. The provider is registered as an organization entity type.
The provider Is Doing Business As Vaughn Blumberg Services.

The provider's business location address is:

2715 FLYNN RD
DOTHAN, AL
ZIP 36303-162
Phone: (334) 793-3102
Fax: (334) 793-7740

The provider's authorized official is Billy Mccarthy .
The authorized official title is Director Of Finance and has the following contact phone number (334) 793-3102.

The enumeration date for this NPI number is 4/5/2011 and was last updated on 4/5/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1529918480MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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