Organization
MARY'S LEGACY HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHALETTA DAVIS LBSW (EXECUTIVE DIRECTOR)
(334) 412-1418
Entity
Organization
Contact information
Practice address
5842 SANROCK TERRACE DR, MONTGOMERY, AL 36116-6550
(334) 593-5173
(334) 593-0376
Mailing address
1803 SHOREHAM DR, MONTGOMERY, AL 36106-2716
(334) 412-1418
(334) 593-0376
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
09/15/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us