NPI 1164715157

The Jordan River Community Development Corporation

Organisation Physical Disabilities Residential Treatment Facility Forestdale, AL

Practice location

Address: 444 Roseta Dr, Forestdale, AL 35214-1938
Phone: (205) 370-5288
Fax: (205) 637-3932

Authorised official

Name: Janice Jordan
Title: Ceo
Phone: (205) 370-5288

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 11020100 (AL)

Other Residential Treatment Facility, Physical Disabilities providers in Alabama →

Registry record

NPI: 1164715157
Entity type: Organization
NPI issued: 24 May 2011
Record last updated: 16 Jun 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.