OrganizationActive
The Jordan River Community Development Corporation
NPI 1164715157 · Physical Disabilities Residential Treatment Facility · Forestdale, AL
Provider details
- NPI number
- 1164715157
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Janice Jordan, Ceo(205) 370-5288
- License
- 11020100 (AL)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
444 Roseta Dr
Forestdale, AL 35214-1938
Phone: (205) 370-5288
Fax: (205) 637-3932
Approximate (ZIP-level) locationGet directions
Mailing address
444 Roseta Dr
Forestdale, AL 35214-1938
Registry dates
- Enumerated
- 2011-05-24
- Last updated
- 2011-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.