Provider Demographics
NPI: | 1518038918 |
---|---|
Name: | MARSHALL COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC. |
Entity Type: | Organization |
Organization Name: | MARSHALL COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | EXECUTIVE DIRECTOR |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | NALDA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | KITCHENS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 256-582-5009 |
Mailing Address - Street 1: | 5104 PORTER HARVEY DR |
Mailing Address - Street 2: | |
Mailing Address - City: | GUNTERSVILLE |
Mailing Address - State: | AL |
Mailing Address - Zip Code: | 35976-6749 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 256-582-5009 |
Mailing Address - Fax: | 256-582-5015 |
Practice Address - Street 1: | 5104 PORTER HARVEY DR |
Practice Address - Street 2: | |
Practice Address - City: | GUNTERSVILLE |
Practice Address - State: | AL |
Practice Address - Zip Code: | 35976-6749 |
Practice Address - Country: | US |
Practice Address - Phone: | 256-582-5009 |
Practice Address - Fax: | 256-582-5015 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-11-10 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251C00000X | Agencies | Day Training, Developmentally Disabled Services |