NPI 1336329200
Prattville S&s, Dba Magnolia Wood Lodge
Practice location
- Address
- 202 E Bridge St, Wetumpka, AL 36092-2723
- Phone
- (334) 514-5268
- Fax
- (334) 514-5269
- Mailing address
- PO Box 1227, Wetumpka, AL 36092-0020
Authorised official
- Name
- Andy Scarborough
- Title
- Vice President
- Phone
- (334) 514-5268
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1336329200
- Entity type
- Organization
- NPI issued
- 8 Nov 2007
- Record last updated
- 8 Nov 2007
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.