Mary's Legacy Homes, LLC
NPI #1639954621 in Montgomery, Alabama
Provider Information
- NPI Number
- 1639954621
- Entity Type
- Organization
- Organization Name
- Mary's Legacy Homes, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Aug 28, 2023
- Last Updated
- Sep 15, 2023
Practice Location
- Address
- 5842 SANROCK TERRACE DR
- City
- Montgomery
- State
- Alabama
- ZIP Code
- 36116-6550
- Phone
- (334) 593-5173
Authorized Official
- Name
- MS. SHALETTA DAVIS, LBSW
- Title
- EXECUTIVE DIRECTOR
- Phone
- (334) 412-1418
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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