NPI: 1821113465
Provider Name: ST. JUDE CATHOLIC HOSPITAL
Doing Business As: FATHER PURCELL MEMORIAL EXCEPTIONAL CHILDREN'S CENTER
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization
Specialization: Nursing Care, Pediatric
CLIA Number: 01D0893156
Address:
1820 OAK STRRET
MONTGOMERY, AL
ZIP 36108
Phone: (334) 834-5590
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ST. JUDE CATHOLIC HOSPITAL 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. ST. JUDE CATHOLIC HOSPITAL NPI is 1821113465. The provider is registered as an organization entity type.
The provider Is Doing Business As Father Purcell Memorial Exceptional Children's Center.
The provider's business location address is:
1820 OAK STRRET
MONTGOMERY, AL
ZIP 36108
Phone: (334) 834-5590
Fax: (334) 834-5602
The provider's authorized official is Sam P. Palomaria .
The authorized official title is Administrator and has the following contact phone number (334) 834-5590.
The CLIA number assigned to this NPI record is 01D0893156 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/22/2020.