| Infinity Group Home LLC | |
|
1412 Cahaba River Parc Birmingham AL 35243-3269 | |
| (205) 568-4126 | |
| (205) 434-4441 |
| Full Name | Infinity Group Home LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1412 Cahaba River Parc, Birmingham, Alabama |
| Authorized Official Name and Position | Reketa Denise Smith (EXECUTIVE DIRECTOR / CEO) |
| Authorized Official Contact | 2055684126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinity Group Home LLC 117 Paradise Lake Rd Hoover AL 35244-5028 Ph: (205) 568-4126 | Infinity Group Home LLC 1412 Cahaba River Parc Birmingham AL 35243-3269 Ph: (205) 568-4126 |
| NPI Number | 1295390995 |
|---|---|
| Provider Enumeration Date | 05/08/2019 |
| Last Update Date | 05/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295390995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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