Second Home Family Assisted Living Home
NPI #1750627808 in Montgomery, Alabama
Provider Information
- NPI Number
- 1750627808
- Entity Type
- Organization
- Organization Name
- Second Home Family Assisted Living Home
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Dec 18, 2012
- Last Updated
- Dec 18, 2012
Practice Location
- Address
- 4506 TERI CT
- City
- Montgomery
- State
- Alabama
- ZIP Code
- 36106-3540
- Phone
- (334) 391-5328
Authorized Official
- Name
- TAMEKIA MATTHEWS
- Title
- ADMINISTRATOR
- Phone
- (334) 391-5328
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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