Individual provider · Type 1 NPI
Alicia Tucker
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Tuscaloosa, AL
Practice location
421 23rd Ave E
Tuscaloosa, AL 35404-3039
Mailing address
3763 Delray Ln
Northport, AL 35473-2441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
2 other providers at this address
About NPI 1811779762
Alicia Tucker's National Provider Identifier is 1811779762, issued on Oct 16, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Tuscaloosa, AL. The record was last updated on Oct 16, 2023.