Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary's Legacy Homes, LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1639954621

Mary's Legacy Homes, LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Montgomery, Alabama. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5842 Sanrock Terrace Dr
Montgomery, AL 36116-6550
Phone: (334) 593-5173
Fax: (334) 593-0376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1639954621
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shaletta Davis — Executive Director · (334) 412-1418
NPI enumeratedAugust 28, 2023
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 15, 2023
Mailing address1803 Shoreham Dr, Montgomery, AL 36106-2716

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