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Organization

CONNECTING THE DOTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE ROBINSON ROYSTER NURSE (MANAGER)
(205) 792-1197
Entity
Organization

Contact information

Practice address
300 MEADOW RIDGE DR, TUSCALOOSA, AL 35405-6429
(205) 792-1197
Mailing address
300 MEADOW RIDGE DR, TUSCALOOSA, AL 35405-6429
(205) 792-1197

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1-077790
AL

Other

Enumeration date
02/20/2015
Last updated
02/20/2015
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