Organization · Type 2 NPI

St. Jude Catholic Hospital

Pediatric Skilled Nursing Facility · Montgomery, AL

NPI number 1821113465 Active

Practice location

1820 Oak Strret
Montgomery, AL 36108

Call (334) 834-5590 Map

Fax (334) 834-5602

Mailing address

2048 W Fairview Ave
Montgomery, AL 36108-4196

Specialties and licenses

Taxonomy	Code	License
Pediatric Skilled Nursing Facility Primary	3140N1450X	N5104 (AL)

Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

Other pediatric skilled nursing facility providers in Montgomery

Father Walter Memorial Child Care CenterPediatric Skilled Nursing Facility Montgomery, AL NPI 1336137488

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NPI record

NPI: 1821113465
Entity type: Organization (Type 2)
Issued: Mar 20, 2007
Last updated: Aug 22, 2020
Status: Active

Other names

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Father Purcell Memorial Exceptional Children's Center · doing business as

Authorized official

Mr. Sam P. Palomaria, N.H.A.
Administrator
(334) 834-5590

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1821113465

St. Jude Catholic Hospital's National Provider Identifier is 1821113465, issued on Mar 20, 2007. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Montgomery, AL. The record was last updated on Aug 22, 2020.