Organization
BROOK HAVEN HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA WILKS (DIRECTOR)
(256) 659-2989
Entity
Organization
Contact information
Practice address
1580 COUNTY ROAD 43, FYFFE, AL 35971
(256) 659-2989
Mailing address
1580 COUNTY ROAD 43, FYFFE, AL 35971
(256) 659-2989
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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