Organization Name: | THE JORDAN RIVER COMMUNITY DEVELOPMENT CORPORATION |
NPI Number: | 1164715157 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANICE JORDAN (CEO) |
Mailing Address: | 444 Roseta Dr Forestdale |
State: | AL US |
Postal Code: | 352141938 |
Phone Number: | 2053705288 |
Fax Number: | 2056373932 |
NPI Enumeration Date: | 05/24/2011 |
NPI Last Update Date: | 06/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320700000X |
License Number: | 11020100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Residential Treatment Facility, Physical Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |