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PRATTVILLE S&S DBA MAGNOLIA WOOD LODGE NPI 1336329200


NPI Information

NPI: 1336329200
Provider Name: PRATTVILLE S&S, DBA MAGNOLIA WOOD LODGE

Other Name: MW THERAPEUTIC

Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
202 E BRIDGE ST
WETUMPKA, AL
ZIP 36092
Phone: (334) 514-5268
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PRATTVILLE S&S, DBA MAGNOLIA WOOD LODGE is a day training developmentally disabled services in Wetumpka, 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. PRATTVILLE S&S, DBA MAGNOLIA WOOD LODGE NPI is 1336329200. The provider is registered as an organization entity type.
The provider Other Name Is Mw Therapeutic.

The provider's business location address is:

202 E BRIDGE ST
WETUMPKA, AL
ZIP 36092-723
Phone: (334) 514-5268
Fax: (334) 514-5269

The provider's authorized official is Andy Scarborough .
The authorized official title is Vice President and has the following contact phone number (334) 514-5268.

The enumeration date for this NPI number is 11/8/2007 and was last updated on 11/8/2007.


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

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: 4/28/2024

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