Brook Haven Home, Inc.

Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Fyffe, AL

NPI 1316220163 · NPPES record last updated Sep 27, 2011

Key facts

NPI
1316220163
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Legal business name
BROOK HAVEN HOME, INC.
Practice address
1580 County Road 43
Fyffe, AL 35971
Phone
(256) 659-2989
NPI assigned
Sep 27, 2011
Organization subpart
No

Authorized official

Name
Deanna Wilks
Title
Director
Phone
(256) 659-2989

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Yes

Addresses

Primary practice location

1580 County Road 43
Fyffe, AL 35971

Mailing address

1580 County Road 43
Fyffe, AL 35971
Phone (256) 659-2989

Other providers in Fyffe, AL

All providers in Fyffe, AL · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Alabama

Sources for this page

Verify at the official NPI Registry.