NPI 1609182450

Modern Day Living Cerified Residential Facility

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Tuscaloosa, AL

Practice location

Address: 10761 Old Greensboro Rd, Tuscaloosa, AL 35405-9185
Phone: (205) 792-2891
Fax: (205) 342-1431

Authorised official

Name: Maretha Elaine Buffer
Title: Executive Director
Phone: (205) 792-2891

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 320900000X (AL)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Alabama →

Registry record

NPI: 1609182450
Entity type: Organization
NPI issued: 30 Aug 2010
Record last updated: 30 Aug 2010

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.