01D0641763 CLIA NUMBER - Little Sisters Of Poor Sacred Heart

Laboratory Demographics

CLIA Number: 01D0641763

Facility Name: Little Sisters Of Poor Sacred Heart

Facility Address:
1655 Mcgill Avenue
Mobile, AL
ZIP 36604
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Facility Phone Number: (251) 476-6335

Facility Type: SKILLED NURSING/NURSING FACILITY

Certificate Type: Waiver

NPI Number: 1518956424

Taxonomy: 310500000X - Intermediate Care Facility, Mental Illness
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

CLIA Record

Field Name Field Value
CLIA Number 01D0641763
LAB Type SKILLED NURSING/NURSING FACILITY
Facility Name Little Sisters Of Poor Sacred Heart
Street 1655 Mcgill Avenue
City Mobile
State AL
ZIP 36604
Phone (251) 476-6335

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This page was last updated on: 12/19/2019