Organization
PRATTVILLE S&S, DBA MAGNOLIA WOOD LODGE
Active
Other names
MW Therapeutic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDY SCARBOROUGH ED.D (VICE PRESIDENT)
(334) 514-5268
Entity
Organization
Contact information
Practice address
202 E BRIDGE ST, WETUMPKA, AL 36092-2723
(334) 514-5268
(334) 514-5269
Mailing address
PO BOX 1227, WETUMPKA, AL 36092-0020
(334) 514-5268
(334) 514-5269
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
AL
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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