NPI 1124397963

Blackwell Foster Home

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Fyffe, AL

Practice location

Address: 743 County Road 18, Fyffe, AL 35971-3907
Phone: (256) 659-6649
Mailing address: 743 County Road 18, Fyffe, AL 35971

Authorised official

Name: Dianette Blackwell
Title: Director
Phone: (256) 659-6649

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1124397963
Entity type: Organization
NPI issued: 23 Dec 2011
Record last updated: 23 Dec 2011

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.