Organization
PAIGE CERTIFIED RESIDENTAL FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGINALD BERNARD PAIGE SR. (OWNER)
(205) 657-3277
Entity
Organization
Contact information
Practice address
4617 30TH AVE E, TUSCALOOSA, AL 35405-4407
(205) 633-1698
(205) 562-1015
Mailing address
4617 30TH AVE E, TUSCALOOSA, AL 35405-4407
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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