Organization
BLACKWELL FOSTER HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANETTE BLACKWELL (DIRECTOR)
(256) 659-6649
Entity
Organization
Contact information
Practice address
743 COUNTY ROAD 18, FYFFE, AL 35971-3907
(256) 659-6649
Mailing address
743 COUNTY ROAD 18, FYFFE, AL 35971
(256) 659-6649
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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