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JACQUELINE THOMAS WALLS
NPI 1033656939
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Demopolis, AL

Active since January 30, 2017
803 FLOYD AVE, DEMOPOLIS, AL 36732(334) 349-6916 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacqueline Thomas Walls NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE THOMAS WALLS (NPI 1033656939) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Demopolis, Alabama and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1033656939
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameJACQUELINE THOMAS WALLS
Location Address803 FLOYD AVEDemopolis, AL 36732-3157
Mailing Address803 Floyd AveDemopolis, AL 36732-3157 · (334) 349-6916
Phone(334) 349-6916
Sole ProprietorYes
Enumeration DateJanuary 30, 2017
✔ NPI 1033656939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedRegistered NurseTaxonomy 163W00000X · License 1-080172 (AL)
803 FLOYD AVE, Demopolis, AL 36732
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Other Names 1

Former Name (1)Jacqueline Denise Thomas

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGEL WING RESIDENTIAL CARE HOME
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
803 FLOYD AVE
DEMOPOLIS, AL 36732
Marengo County (334) 349-6916

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Walls's NPI number?

The NPI number for Jacqueline Walls is 1033656939. It was assigned to this individual provider in the NPPES registry on January 30, 2017. The provider is also known as Jacqueline Denise Thomas.

Where is Jacqueline Walls located?

Jacqueline Walls practices at 803 Floyd Ave, Demopolis, AL 36732. The listed phone number is (334) 349-6916.

What is Jacqueline Walls's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Walls was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.