Fairhope Residential LLC

NPI #1033093844 in Fairhope, Alabama

Provider Information

NPI Number
1033093844
Entity Type
Organization
Organization Name
Fairhope Residential LLC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Aug 4, 2025
Last Updated
Aug 4, 2025

Practice Location

Address
18874 SUMMER OAKS PL
State
Alabama
ZIP Code
36532-4721
Phone
(270) 869-7934

Authorized Official

Name
MR. JOHN THOMAS MICHAEL, RN
Title
EXECUTIVE DIRECTOR
Phone
(270) 869-7934

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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