Organization
D&J RESIDENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA HENINGBURG (OWNER)
(251) 753-4760
Entity
Organization
Contact information
Practice address
5307 FOREST OAKS DR S, MOBILE, AL 36618-2415
(251) 753-4760
Mailing address
5307 FOREST OAKS DR S, MOBILE, AL 36618-2415
(251) 753-4760
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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