Whalio Doctors

NPI 1770777559

Marshall Jackson Mental Retardation Authority, INC

Organisation Case Management Agency Guntersville, AL

Practice location

Address
2024 Gunter Ave, Guntersville, AL 35976-2113
Phone
(256) 582-7528
Fax
(256) 582-7311

Authorised official

Name
Diane W East
Title
Administrative Assistant
Phone
(256) 582-7528

Registered specialties

Case Management Agency Primary
Agencies Taxonomy 251B00000X

Registry record

NPI
1770777559
Entity type
Organization
NPI issued
5 Sep 2007
Record last updated
5 Sep 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.