Organization
GRAHAM'S HOUSE OF HOPE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRENTISS GRAHAM SR. (EXECUTIVE DIRECTOR)
(251) 457-6929
Entity
Organization
Contact information
Practice address
3626 W MAIN ST, WHISTLER, AL 36612-1813
(251) 457-6929
(251) 452-9901
Mailing address
3626 W MAIN ST, WHISTLER, AL 36612-1813
(251) 457-6929
(251) 452-9901
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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