Organization
GRACE HOUSE MINISTRIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER PARKER (EXECUTIVE DIRECTOR)
(205) 786-4663
Entity
Organization
Contact information
Practice address
4923 FARRELL AVE, FAIRFIELD, AL 35064-2337
(205) 786-4663
(205) 780-0750
Mailing address
PO BOX 547, 4923 FARRELL AVE, FAIRFIELD, AL 35064-0547
(205) 786-4663
(205) 780-0750
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
019448
AL
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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