Provider Demographics
NPI:1609288000
Name:SOUTHWEST REGIONAL CARE FACILITIES, LLC
Entity Type:Organization
Organization Name:SOUTHWEST REGIONAL CARE FACILITIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERION
Authorized Official - Middle Name:L
Authorized Official - Last Name:BAAHETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-345-1079
Mailing Address - Street 1:650 CLINIC DR
Mailing Address - Street 2:BLDG. 3 SUITE 2300
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36688-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:650 CLINIC DR
Practice Address - Street 2:BLDG. 3 SUITE 2300
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36688-0001
Practice Address - Country:US
Practice Address - Phone:251-345-1079
Practice Address - Fax:251-380-9004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-20
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities