KING CERTIFIED RESIDENTIAL FACILITY NPI 1497910244

NPI Information

NPI: 1497910244
Provider Name: KING CERTIFIED RESIDENTIAL FACILITY
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
4008 FLATWOODS ROAD
NORTHPORT, AL
ZIP 35473
Phone: (205) 792-7829
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KING CERTIFIED RESIDENTIAL FACILITY is a community based residential treatment facility, intellectual and/or developmental disabilities in Northport, AL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. KING CERTIFIED RESIDENTIAL FACILITY NPI is 1497910244. The provider is registered as an organization entity type.

The provider's business location address is:

4008 FLATWOODS ROAD
NORTHPORT, AL
ZIP 35473-101
Phone: (205) 792-7829

The provider's authorized official is Renee King Holley .
The authorized official title is Family Provider and has the following contact phone number (205) 792-7829.

The enumeration date for this NPI number is 7/22/2008 and was last updated on 7/22/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		5324343	ALABAMA	Yes

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

NPI Synchronization or Removal

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