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MODERN DAY LIVING CERIFIED RESIDENTIAL FACILITY NPI 1609182450


NPI Information

NPI: 1609182450
Provider Name: MODERN DAY LIVING CERIFIED RESIDENTIAL FACILITY
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
10761 OLD GREENSBORO RD
TUSCALOOSA, AL
ZIP 35405
Phone: (205) 792-2891
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MODERN DAY LIVING CERIFIED RESIDENTIAL FACILITY is a community based residential treatment facility, intellectual and/or developmental disabilities in Tuscaloosa, 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. MODERN DAY LIVING CERIFIED RESIDENTIAL FACILITY NPI is 1609182450. The provider is registered as an organization entity type.

The provider's business location address is:

10761 OLD GREENSBORO RD
TUSCALOOSA, AL
ZIP 35405-185
Phone: (205) 792-2891
Fax: (205) 342-1431

The provider's authorized official is Maretha Elaine Buffer .
The authorized official title is Executive Director and has the following contact phone number (205) 792-2891.

The enumeration date for this NPI number is 8/30/2010 and was last updated on 8/30/2010.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities320900000XALABAMAYes

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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