Organization
KIDDIE KASTLE INC.
Active
Other names
Horizon Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANI GILFORD (PROGRAM DIRECTOR)
(334) 413-3010
Entity
Organization
Contact information
Practice address
1212 9TH AVE, SELMA, AL 36703-4021
(334) 875-1045
Mailing address
PO BOX 436, SELMA, AL 36702-0436
(334) 875-1045
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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