National Provider Identifier Database

AFB DIVERSIFIED LLC
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

AFB DIVERSIFIED, LLC
614 ELMWOOD AVE
GADSDEN, AL35903-1654
Phone: 256-543-8837
Fax: 256-543-8839
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for AFB DIVERSIFIED, LLC

NPI Number 1306399175
Legal business name
LBN
AFB DIVERSIFIED, LLC
Authorized official JANICE JACKSON - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/28/2016
Last updated 07/28/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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