House of Restoration

Organization Active NPI Case Manager/Care Coordinator · Phenix City, AL

NPI 1922320324 · NPPES record last updated Feb 26, 2010

Key facts

NPI
1922320324
Entity type
Organization (NPI type 2)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Legal business name
HOUSE OF RESTORATION
Practice address
1200 12TH CT
Phenix City, AL 36867-5732
Phone
(334) 214-5522
Fax
(334) 214-5525
NPI assigned
Feb 26, 2010
Organization subpart
No

Authorized official

Name
Mr. Johnnie Clifton Robinson Jr.
Title
Executive Director/ Social Worker
Phone
(334) 214-5522

National Provider Directory

Locations

1200 12th Ct
Phenix City, AL 36867
Phone (334) 214-5522

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator
Group: 193200000X MULTI-SPECIALTY GROUP
171M00000X Yes

Addresses

Primary practice location

1200 12TH CT
Phenix City, AL 36867-5732

Mailing address

1200 12TH CT
Phenix City, AL 36867-5732
Phone (334) 214-5522

Other providers in Phenix City, AL

All providers in Phenix City, AL · Case Manager/Care Coordinator in Alabama

Sources for this page

Verify at the official NPI Registry.