Provider Demographics
NPI:1164738415
Name:MELONIE'S RESPITECARE& DAY HABILITATION INC.
Entity Type:Organization
Organization Name:MELONIE'S RESPITECARE& DAY HABILITATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELONIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-591-0610
Mailing Address - Street 1:7286 OLD MILITARY RD
Mailing Address - Street 2:
Mailing Address - City:THEODORE
Mailing Address - State:AL
Mailing Address - Zip Code:36582-2124
Mailing Address - Country:US
Mailing Address - Phone:251-591-0610
Mailing Address - Fax:251-653-5537
Practice Address - Street 1:7286 OLD MILITARY RD
Practice Address - Street 2:
Practice Address - City:THEODORE
Practice Address - State:AL
Practice Address - Zip Code:36582-2124
Practice Address - Country:US
Practice Address - Phone:251-591-0610
Practice Address - Fax:251-653-5537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health