Organization
DUNGARVIN ALABAMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA GALLIMORE (DIRECTOR)
(205) 444-1617
Entity
Organization
Contact information
Practice address
3941 LORNA RD, HOOVER, AL 35244-1030
(205) 444-1617
(205) 444-1619
Mailing address
400 LEGACY PLZ W, LA PORTE, IN 46350-5296
(219) 326-6277
(219) 362-5498
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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