Organization
OUICARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OUIDA AGNES GANDY (EXECUTIVE DIRECTOR)
(334) 372-1034
Entity
Organization
Contact information
Practice address
117 E FOREST AVE, TROY, AL 36081-4501
(334) 770-0521
Mailing address
PO BOX 351, TROY, AL 36081-0351
(334) 372-1034
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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