Organization
BATTISTE CERTIFIED RESIDENTIAL FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA FRANCENE BATTISTE (EXCUTIVE DIRECTOR)
(251) 457-5409
Entity
Organization
Contact information
Practice address
432 GILBERT ST, PRICHARD, AL 36610-4452
(251) 457-5409
Mailing address
432 GILBERT ST, PRICHARD, AL 36610-4452
(251) 457-5409
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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