NPI 1386823185
Life Enrichment Services
Practice location
- Address
- 9100 Baptist Campground Rd Suite B, Northport, AL 35473-8075
- Phone
- (205) 242-3577
Authorised official
- Name
- Aretha L Ball
- Title
- Director
- Phone
- (205) 339-8300
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1386823185
- Entity type
- Organization
- NPI issued
- 29 Oct 2007
- Record last updated
- 29 Oct 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.