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FATHER WALTER MEMORIAL CHILD CARE CENTER NPI 1336137488


NPI Information

NPI: 1336137488
Provider Name: FATHER WALTER MEMORIAL CHILD CARE CENTER
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

Address:
2815 FORBES DR
MONTGOMERY, AL
ZIP 36110
Phone: (334) 262-6421
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FATHER WALTER MEMORIAL CHILD CARE CENTER is a nursing care and pediatric skilled nursing facility in Montgomery, AL. The provider is 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. FATHER WALTER MEMORIAL CHILD CARE CENTER NPI is 1336137488. The provider is registered as an organization entity type.

The provider's business location address is:

2815 FORBES DR
MONTGOMERY, AL
ZIP 36110-307
Phone: (334) 262-6421
Fax: (334) 262-2265

The provider's authorized official is Yataisha Feleese Robertson .
The authorized official title is Director Of Nursing and has the following contact phone number (334) 230-1935.

The enumeration date for this NPI number is 10/12/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13140N1450XSkilled Nursing FacilityNursing Care, Pediatric08394ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14751050SMEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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