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Organization
IRON CITY RESIDENTIAL, LLC
Active
Organization
IRON CITY RESIDENTIAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKY NICOLE BUTTS (EXECUTIVE DIRECTOR)
(205) 356-9087
Entity
Organization
Contact information
Practice address
1523 RIVER HAVEN LN, HOOVER, AL 35244-1259
(205) 356-9087
Mailing address
1162 JOHN J EAGAN DR, BIRMINGHAM, AL 35204-1140
(205) 356-9087
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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