NPI 1639954621

Mary's Legacy Homes, LLC

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

Practice location

Address: 5842 Sanrock Terrace Dr, Montgomery, AL 36116-6550
Phone: (334) 593-5173
Fax: (334) 593-0376
Mailing address: 1803 Shoreham Dr, Montgomery, AL 36106-2716

Authorised official

Name: Shaletta Davis
Title: Executive Director
Phone: (334) 412-1418

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X

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

Registry record

NPI: 1639954621
Entity type: Organization
NPI issued: 28 Aug 2023
Record last updated: 15 Sep 2023

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.