Organization
SECOND HOME FAMILY ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMEKIA MATTHEWS (ADMINISTRATOR)
(334) 391-5328
Entity
Organization
Contact information
Practice address
4506 TERI CT, MONTGOMERY, AL 36106-3540
(334) 391-5328
Mailing address
4506 TERI CT, MONTGOMERY, AL 36106-3540
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
8444
AL
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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