Organization
AFB DIVERSIFIED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE JACKSON (OWNER)
(256) 390-3427
Entity
Organization
Contact information
Practice address
614 ELMWOOD AVE, GADSDEN, AL 35903-1654
(256) 543-8837
(256) 543-8839
Mailing address
614 ELMWOOD AVE, GADSDEN, AL 35903-1654
(256) 543-8837
(256) 543-8839
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
AL
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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