Brook Haven Home, Inc.

NPI #1316220163 in Fyffe, Alabama

Provider Information

NPI Number: 1316220163
Entity Type: Organization
Organization Name: Brook Haven Home, Inc.
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 27, 2011
Last Updated: Sep 27, 2011

Practice Location

Address: 1580 COUNTY ROAD 43
City: Fyffe
State: Alabama
ZIP Code: 35971
Phone: (256) 659-2989

Authorized Official

Name: DEANNA WILKS
Title: DIRECTOR
Phone: (256) 659-2989

Specialties & Taxonomy Codes

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

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