Organization
DELIGHTFUL HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHETA ADAR COULTER (CEO)
(708) 359-1139
Entity
Organization
Contact information
Practice address
1809 VAUGHN LN, MONTGOMERY, AL 36106-2711
(708) 359-1139
Mailing address
1809 VAUGHN LN, MONTGOMERY, AL 36106-2711
(708) 359-1139
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
12/30/2020
Last updated
09/22/2022
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