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Contact Information

HOUSE OF RESTORATION
1200 12TH CT
PHENIX CITY, AL36867-5732
 Phone: 334-214-5522
 Fax: 334-214-5525
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for HOUSE OF RESTORATION

NPI Number 1922320324
LBN Legal business name HOUSE OF RESTORATION
Authorized official JOHNNIE ROBINSON - (EXECUTIVE DIRECTOR/ SOCIAL WORKER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2010
Last updated 02/26/2010 - About 16 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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