Organization
DOTHAN HOUSTON COUNTY MR BOARD INC.
Active
Other names
Vaughn Blumberg Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY MCCARTHY (DIRECTOR OF FINANCE)
(334) 793-3102
Entity
Organization
Contact information
Practice address
2715 FLYNN RD, DOTHAN, AL 36303-1162
(334) 793-3102
(334) 793-7740
Mailing address
PO BOX 8646, DOTHAN, AL 36304-0646
(334) 793-3102
(334) 793-7740
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529918480
—
AL
Enumeration date
04/05/2011
Last updated
04/05/2011
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