Provider Demographics
NPI:1174645923
Name:THE ARC OF JACKSON COUNTY
Entity Type:Organization
Organization Name:THE ARC OF JACKSON COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-259-1603
Mailing Address - Street 1:180 MACK MORRIS DRIVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35769
Mailing Address - Country:US
Mailing Address - Phone:256-259-1603
Mailing Address - Fax:256-259-4162
Practice Address - Street 1:180 MACK MORRIS DRIVE
Practice Address - Street 2:
Practice Address - City:SCOTTSBORO
Practice Address - State:AL
Practice Address - Zip Code:35769
Practice Address - Country:US
Practice Address - Phone:256-259-1603
Practice Address - Fax:256-259-4162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services