Provider Demographics
NPI:1750663985
Name:JUDY B. HAYMON HOMES, INC.
Entity Type:Organization
Organization Name:JUDY B. HAYMON HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TEDDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYMON
Authorized Official - Suffix:II
Authorized Official - Credentials:RN
Authorized Official - Phone:256-638-8479
Mailing Address - Street 1:4693 MAIN STREET-FYFFE
Mailing Address - Street 2:
Mailing Address - City:FYFFE
Mailing Address - State:AL
Mailing Address - Zip Code:35971
Mailing Address - Country:US
Mailing Address - Phone:256-638-8479
Mailing Address - Fax:256-638-2738
Practice Address - Street 1:4693 MAIN STREET-FYFFE
Practice Address - Street 2:
Practice Address - City:FYFFE
Practice Address - State:AL
Practice Address - Zip Code:35971
Practice Address - Country:US
Practice Address - Phone:256-638-8479
Practice Address - Fax:256-638-2738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home