Organization
FAIRHOPE RESIDENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN THOMAS MICHAEL RN (EXECUTIVE DIRECTOR)
(270) 869-7934
Entity
Organization
Contact information
Practice address
18874 SUMMER OAKS PL, FAIRHOPE, AL 36532-4721
(270) 869-7934
Mailing address
20777 NOBLEMAN DR, FAIRHOPE, AL 36532-4658
(270) 869-7934
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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