Organization
FANCY HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD ABDALLAH LATAYFA (OWNER)
(318) 990-9225
Entity
Organization
Contact information
Practice address
3757 SEASIDE SPARROW CIR, BESSEMER, AL 35022-4719
(318) 990-9225
Mailing address
103 GARDEN VIEW LN APT 103, HOOVER, AL 35244-1841
(318) 990-9225
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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