person
Alicia Tucker
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Tuscaloosa, Alabama
NPI 1811779762

Alicia Tucker is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Northport, AL. Alicia Tucker practices in Tuscaloosa, AL. The NPI Number for Alicia Tucker is 1811779762 and holds a License No. (Alabama).

The current practice location address for Alicia Tucker is 421 23Rd Ave E, Tuscaloosa, AL and can be reached out via phone at 334-328-0815. You can also correspond with Alicia Tucker through the mailing address at 3763 DELRAY LN, NORTHPORT, AL - 35473-2441 (mailing address contact number: 334-328-0815).

Location: 421 23Rd Ave E, Tuscaloosa, AL, 35473-2441
person
Provider Profile Details
NPI Number
1811779762
Provider Name
Alicia Tucker
Credential
Provider Entity Type
Individual
Gender
Female
Address
421 23Rd Ave E, Tuscaloosa, AL, 35473-2441
Phone Number
334-328-0815
Fax Number
Provider Enumeration Date
10/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
421 23Rd Ave E
City
State
Zip
35404-3039
Phone Number
334-328-0815
Fax Number
person
Provider Business Mailing Address Details
Address
3763 Delray Ln
City
State
Zip
35473-2441
Phone Number
334-328-0815
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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