LITTLE SISTERS OF THE POOR HOME FOR THE AGED INC
Assisted Living Facility
Mobile, Alabama
Provider NPI: 1518956424
Organization Information:Organization Name: LITTLE SISTERS OF THE POOR HOME FOR THE AGED INC
Practice Location:
1655 MCGILL AVE MOBILE, AL 36604 US
Tel: 251-476-6335 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1655 MCGILL AVE MOBILE, AL 36604 US
Tel: 251-476-6335 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | AL | 09678 |
Y | 310500000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mental Illness | AL | 09684 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
4754740S | AL | 05 | |
BLUE CROSS BLUE SHIELD | 010590 | AL | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin