BALDWIN COUNTY GIRLS RESIDENTIAL WILDERNESS PROGRAM


Address: 23750 Ewing Farm Road, Atmore, AL 36502-0000
Phone: 2515801860

BALDWIN COUNTY GIRLS RESIDENTIAL WILDERNESS PROGRAM (NPI# 1669640041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669640041
Entity Type Organization
Organization Name BALDWIN COUNTY GIRLS RESIDENTIAL WILDERNESS PROGRAM
Practice Address 23750 Ewing Farm Road
Atmore
AL 36502-0000
Practice Telephone 2515801860
Practice Fax Number 2519370391
Mailing Telephone 2515801860
Mailing Fax Number 2519370391
Enumeration Date 2008-02-19
Last Update Date 2008-04-20
Authorized Official Name MR. WILLIAM E FORD (DIRECTOR)
Authorized Official Telephone 2515801860
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities ========= AL Residential Treatment Facilities

Office Location

Street Address 23750 EWING FARM ROAD
City ATMORE
State AL
Zip Code 36502-0000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669879144 Baldwin County Commission Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 23750 Ewing Farm Road, Atmore, AL 36502-0000 2014-11-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740895200 Escambia County Alabama Community Hospitals, Inc Family Medicine 609 E. Laurel Street, Atmore, AL 36502 2020-09-11
1932331485 Buckley and Buckley Family Dentistry Dentist 604 E Nashville Ave, Atmore, AL 36502 2009-08-18
1932343803 Melanie Showalter Killam Physical Therapist 715 East Laurel Street, Atmore Nursing Center, Atmore, AL 36502 2009-04-23
1326285040 Gene Allen West Dentist 109 7th Avenue, Atmore, AL 36502 2009-01-16
1134231392 Paul J Dirkes Dentist 5811 Jack Springs Road, Atmore, AL 36502 2006-08-31
1538111893 Atmore Community Home Care, LLC Home Health 121-c Lindberg Avenue, Atmore, AL 36502 2006-05-16
1790740793 Renal Treatment Centers Southeast Lp Clinic/Center 807 E Craig St, Atmore, AL 36502 2006-04-20
1386250710 Lydia M Bonner Nurse Practitioner 609 E. Laurel Street, Atmore, AL 36502 2020-09-21
1508885732 Health Plus Chiropractic Center LLC Chiropractor 200 N Main St, Atmore, AL 36502 2006-07-19
1588742928 Rodney S Owens Chiropractor 410 Medical Park Dr., Atmore, AL 36502-0000 2006-11-02
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669879144 Baldwin County Commission Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 23750 Ewing Farm Road, Atmore, AL 36502-0000 2014-11-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184236721 Nekiya Jones Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 417 Fox Run Lane, Pell City, AL 35125-9366 2020-08-17
1952926230 Ouicare LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 117 E Forest Ave, Troy, AL 36081-4501 2020-06-11
1194352120 Montessori Mental Health LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 209 Glen Meadow Ln, Harvest, AL 35749-8995 2020-03-27
1467098681 Fhl Group Home,llc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 12218 Spring Rd, Tanner, AL 35671-3214 2019-11-22
1356858930 Latoya Mckinstry Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3914 Watermelon Rd, Northport, AL 35473-5184 2018-01-04
1972021970 Volunteers of America Southeast Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1204 Hillcrest Rd, Mobile, AL 36695-3930 2017-08-30
1316463144 Answered Prayer Home Care Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4101 Wall St Ste C, Montgomery, AL 36106-3724 2017-08-14
1851813422 Ericka Letoindia Betton Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1554 Basil St, Mobile, AL 36603-5019 2017-07-14
1740719566 Yvette Renee Fuller Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 102 Populus Dr, Harvest, AL 35749-4802 2017-06-06
1790134757 Three Folds Care Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6336 Taylor Ridge Rd, Montgomery, AL 36116-6507 2016-06-09
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Competitor

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City ATMORE
Zip Code 36502

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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