PRATTVILLE S&S, DBA MAGNOLIA WOOD LODGE (NPI# 1336329200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336329200 |
| Entity Type | Organization |
| Organization Name | PRATTVILLE S&S, DBA MAGNOLIA WOOD LODGE |
| Other Organization Name | MW THERAPEUTIC |
| Practice Address |
202 E Bridge St Wetumpka AL 36092-2723 |
| Mailing Address |
Po Box 1227 Wetumpka AL 36092-0020 |
| Practice Telephone | 3345145268 |
| Practice Fax Number | 3345145269 |
| Mailing Telephone | 3345145268 |
| Mailing Fax Number | 3345145269 |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |
| Authorized Official Name | DR. ANDY SCARBOROUGH (VICE PRESIDENT) |
| Authorized Official Telephone | 3345145268 |
| Authorized Official Credential | ED.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | AL | Agencies |
| Other Name | Type Code |
|---|---|
| MW Therapeutic | Other Name - Individual/Organization |
| Street Address |
202 E BRIDGE ST |
| City | WETUMPKA |
| State | AL |
| Zip Code | 36092-2723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578195525 | River Region Family Medicine, LLC | Family Medicine | 277 Huntress Street, Suite 100, Wetumpka, AL 36092 | 2020-02-07 |
| 1710548003 | 2la, LLC | Hearing Instrument Specialist | 4354 Us Highway 231, Suite A, Wetumpka, AL 36092 | 2019-06-26 |
| 1124549308 | Medi - Rides Transport LLC | Non-emergency Medical Transport (VAN) | 173 Hill Street, Suite 103, Wetumpka, AL 36092 | 2017-06-28 |
| 1538699129 | Joni Smart | Pharmacist | 4538 Us Hwy 231, Wetumpka, AL 36092 | 2017-06-15 |
| 1134396898 | Blue Ridge Chiropractic, LLC | Chiropractor | 2412 Us Hwy 231, Wetumpka, AL 36092 | 2008-05-13 |
| 1932243565 | Patricia Dianne White Mcclanahan | Psychologist | 8476 U S Hwy 231 Admh Division of Intellectual Disabili, Comprehensive Support Svcs Riv & V, Wetumpka, AL 36092 | 2007-02-16 |
| 1952472607 | Wetumpka Family Practice Pa | Family Medicine | 73970 Tallassee Hwy, Wetumpka, AL 36092 | 2006-11-13 |
| 1063429744 | Jim G Anderson | Chiropractor | 76299 Tallassee Hwy, Wetumpka, AL 36092 | 2006-08-02 |
| 1710908009 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 5326 Hwy 231 South, Wetumpka, AL 36092 | 2006-07-21 |
| 1629011770 | Spencer J Coleman Sr. | Family Medicine | 73970 Tallassee Highway, Wetumpka, AL 36092 | 2006-06-14 |
| Find all providers in zip 36092 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881232080 | Dawn House, Inc | Day Training, Developmentally Disabled Services | 17714 Horseneck Rd, Bay Minette, AL 36507-7473 | 2019-12-18 |
| 1508401605 | Donna N Harrell | Day Training, Developmentally Disabled Services | 27707 Juanita Dr, Athens, AL 35613-6947 | 2019-11-12 |
| 1396396552 | Arc-baldwin County, Inc. | Day Training, Developmentally Disabled Services | 3650 S Magnolia St, Loxley, AL 36551-5447 | 2019-09-27 |
| 1124687389 | True Care Inc | Day Training, Developmentally Disabled Services | 103 Bordeaux Ln, Madison, AL 35757-7536 | 2019-06-11 |
| 1710453782 | Shepherd's Heart, LLC | Day Training, Developmentally Disabled Services | 402 S 3rd St, Gadsden, AL 35901-5211 | 2018-10-17 |
| 1265824718 | Connecting The Dots | Day Training, Developmentally Disabled Services | 300 Meadow Ridge Dr, Tuscaloosa, AL 35405-6429 | 2015-02-20 |
| 1013357417 | Huff Industries Inc. | Day Training, Developmentally Disabled Services | 55260 County Road 21, Stockton, AL 36579-4144 | 2013-06-28 |
| 1720360886 | Parmer Prewitt | Day Training, Developmentally Disabled Services | 432 65th St, Suite B, Tuscaloosa, AL 35405-6544 | 2011-09-14 |
| 1972754737 | United Cerebral Palsy of West Alabama, Inc. | Day Training, Developmentally Disabled Services | 1100 Ucp Pkwy, Northport, AL 35476-5066 | 2008-10-09 |
| 1386895563 | Eagles' Wings, Inc. | Day Training, Developmentally Disabled Services | 2205 9th Ave, Northport, AL 35476-4051 | 2008-10-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.