Provider Demographics
NPI:1033479142
Name:CARING BOARDING HOUSE
Entity Type:Organization
Organization Name:CARING BOARDING HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-234-9499
Mailing Address - Street 1:2054 ROBINSON DR
Mailing Address - Street 2:APT D
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36605-5176
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2054 ROBINSON DR
Practice Address - Street 2:APT D
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36605-5176
Practice Address - Country:US
Practice Address - Phone:251-234-9499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child