Organization
HOUSE OF PHILADELPHIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAMIE HAYDEN MACKEY (EXECUTIVE DIRECTOR)
(251) 824-4689
Entity
Organization
Contact information
Practice address
8571 THREE MILE RD, IRVINGTON, AL 36544-3301
(251) 824-4689
(251) 824-1675
Mailing address
8571 THREE MILE RD, IRVINGTON, AL 36544-3301
(251) 824-4689
(251) 824-1675
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
08/22/2020
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