NPI 1033093844
Fairhope Residential LLC
Practice location
- Address
- 18874 Summer Oaks Pl, Fairhope, AL 36532-4721
- Phone
- (270) 869-7934
- Mailing address
- 20777 Nobleman Dr, Fairhope, AL 36532-4658
Authorised official
- Name
- John Thomas Michael
- Title
- Executive Director
- Phone
- (270) 869-7934
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1033093844
- Entity type
- Organization
- NPI issued
- 4 Aug 2025
- Record last updated
- 4 Aug 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.