Organization
STILL WATERS ADULT DAY FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE M WATERS PRESIDENT,LPN (PRESIDENT)
(334) 400-2932
Entity
Organization
Contact information
Practice address
700 BRANTLEY ST, OPP, AL 36467-1720
(334) 400-2932
Mailing address
700 BRANTLEY ST, OPP, AL 36467-1720
(334) 400-2932
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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