| Yellow River Residential, Llc | |
|
401 Campbell Dr Tuskegee AL 36083-2319 | |
| (334) 657-5700 | |
| (334) 657-5700 |
| Full Name | Yellow River Residential, Llc |
|---|---|
| Speciality | Case Manager/care Coordinator |
| Location | 401 Campbell Dr, Tuskegee, Alabama |
| Authorized Official Name and Position | Jamila Chantile Walker (CO OWNER) |
| Authorized Official Contact | 3346575700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yellow River Residential, Llc 401 Campbell Dr Tuskegee AL 36083-2319 Ph: (334) 657-5700 | Yellow River Residential, Llc 401 Campbell Dr Tuskegee AL 36083-2319 Ph: (334) 657-5700 |
| NPI Number | 1528926896 |
|---|---|
| Provider Enumeration Date | 01/14/2026 |
| Last Update Date | 01/14/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528926896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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