Blackwell's Way

NPI #1427231083 in Fyffe, Alabama

Provider Information

NPI Number: 1427231083
Entity Type: Organization
Organization Name: Blackwell's Way
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 6, 2007
Last Updated: Dec 6, 2007

Practice Location

Address: 4140 COUNTY RD 43
City: Fyffe
State: Alabama
ZIP Code: 35971
Phone: (256) 623-3448

Authorized Official

Name: MRS. DANA JILL BLACKWELL
Title: PRESIDENT
Phone: (256) 623-3448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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