Fancy Homes LLC

NPI #1639059975 in Bessemer, Alabama

Provider Information

NPI Number
1639059975
Entity Type
Organization
Organization Name
Fancy Homes LLC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Sep 5, 2025
Last Updated
Sep 5, 2025

Practice Location

Address
3757 SEASIDE SPARROW CIR
State
Alabama
ZIP Code
35022-4719
Phone
(318) 990-9225

Authorized Official

Name
MOHAMMAD ABDALLAH LATAYFA
Title
OWNER
Phone
(318) 990-9225

Specialties & Taxonomy Codes

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

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