Organization
EMMANUEL HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA BAILEY (VICE PRESIDENT)
(205) 242-6277
Entity
Organization
Contact information
Practice address
5001 CYPRESS CREEK AVE E, TUSCALOOSA, AL 35405-6017
(205) 242-6277
Mailing address
23 CRESTLINE DR, TUSCALOOSA, AL 35405-4170
(205) 242-6277
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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