Healthcare Provider Details

I. General information

NPI: 1346276938
Provider Name (Legal Business Name): BALL HEALTHCARE - LOWNDES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

629 STATE HIGHWAY 21 SOUTH
HAYNEVILLE AL
36040-6033
US

IV. Provider business mailing address

1 SOUTHERN WAY
MOBILE AL
36619-1210
US

V. Phone/Fax

Practice location:
  • Phone: 334-548-5995
  • Fax: 334-548-5980
Mailing address:
  • Phone: 251-433-9801
  • Fax: 251-433-9807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number12603
License Number StateAL

VIII. Authorized Official

Name: MRS. JACQUELYN BURRELL GREENE
Title or Position: ADMINISTRATOR
Credential:
Phone: 334-548-5995