NPI 1750627808

Second Home Family Assisted Living Home

Organisation Assisted Living Facility Montgomery, AL

Practice location

Address: 4506 Teri CT, Montgomery, AL 36106-3540
Phone: (334) 391-5328

Authorised official

Name: Tamekia Matthews
Title: Administrator
Phone: (334) 391-5328

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 8444 (AL)

Other Assisted Living Facility providers in Alabama →

Registry record

NPI: 1750627808
Entity type: Organization
NPI issued: 18 Dec 2012
Record last updated: 18 Dec 2012

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.