Blackwell Foster Home

NPI #1124397963 in Fyffe, Alabama

Provider Information

NPI Number: 1124397963
Entity Type: Organization
Organization Name: Blackwell Foster Home
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 23, 2011
Last Updated: Dec 23, 2011

Practice Location

Address: 743 COUNTY ROAD 18
City: Fyffe
State: Alabama
ZIP Code: 35971-3907
Phone: (256) 659-6649

Authorized Official

Name: DIANETTE BLACKWELL
Title: DIRECTOR
Phone: (256) 659-6649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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