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BURT'S PLACE HOME FOR BOYS NPI 1538261326


NPI Information

NPI: 1538261326
Provider Name: BURT'S PLACE HOME FOR BOYS
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
901 TUSCALOOSA AVE
GADSDEN, AL
ZIP 35901
Phone: (256) 543-2036
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BURT'S PLACE HOME FOR BOYS is a residential treatment facility emotionally disturbed children in Gadsden, AL. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. BURT'S PLACE HOME FOR BOYS NPI is 1538261326. The provider is registered as an organization entity type.

The provider's business location address is:

901 TUSCALOOSA AVE
GADSDEN, AL
ZIP 35901-170
Phone: (256) 543-2036
Fax: (256) 543-9677

The provider's authorized official is Magdalene Wellman .
The authorized official title is Executive Director and has the following contact phone number (256) 543-2036.

The enumeration date for this NPI number is 9/2/2006 and was last updated on 6/17/2008.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children032931ALABAMAYes

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
1339000000MEDICARE UPINALABAMA

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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