Tsr Group Home Llc | |
3010 Cotton Pl Sw Decatur AL 35603-1427 | |
(256) 990-0661 | |
(256) 686-2726 |
Full Name | Tsr Group Home Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 3010 Cotton Pl Sw, Decatur, Alabama |
Authorized Official Name and Position | Rashonda Dianne Thompson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2569900661 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tsr Group Home Llc 3010 Cotton Pl Sw Decatur AL 35603-1427 Ph: (256) 990-0661 | Tsr Group Home Llc 3010 Cotton Pl Sw Decatur AL 35603-1427 Ph: (256) 990-0661 |
NPI Number | 1750627667 |
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Provider Enumeration Date | 12/20/2012 |
Last Update Date | 12/20/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750627667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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