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Organization
GRAHAM'S HOUSE OF HOPE, LLC
Active
Organization
GRAHAM'S HOUSE OF HOPE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRENTISS GRAHAM SR. (EXECUTIVE DIRECTOR)
(251) 457-6929
Entity
Organization
Contact information
Practice address
3626 W MAIN ST, WHISTLER, AL 36612-1813
(251) 457-6929
(251) 452-9901
Mailing address
3626 W MAIN ST, WHISTLER, AL 36612-1813
(251) 457-6929
(251) 452-9901
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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