Organization
JLW PLACE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER WILLIAMS SR. LPN (OWNER)
(251) 367-2139
Entity
Organization
Contact information
Practice address
472 LOTT RD, EIGHT MILE, AL 36613-3533
(251) 367-2139
(251) 442-0706
Mailing address
PO BOX 497, SARALAND, AL 36571-0497
(251) 367-2139
(251) 442-0706
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
2-044907
AL
332B00000X
Durable Medical Equipment & Medical Supplies
2-044907
AL
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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