Provider Demographics
NPI:1790537710
Name:G&D GROUP HOMES
Entity Type:Organization
Organization Name:G&D GROUP HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:256-247-8923
Mailing Address - Street 1:503 W STATE ST STE B3
Mailing Address - Street 2:
Mailing Address - City:MUSCLE SHOALS
Mailing Address - State:AL
Mailing Address - Zip Code:35661-2861
Mailing Address - Country:US
Mailing Address - Phone:256-978-4441
Mailing Address - Fax:256-300-2260
Practice Address - Street 1:503 W STATE ST STE B3
Practice Address - Street 2:
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661-2861
Practice Address - Country:US
Practice Address - Phone:256-978-4441
Practice Address - Fax:256-300-2260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health