Healthcare Provider Details

I. General information

NPI: 1679134654
Provider Name (Legal Business Name): RONALD MCDONALD HOUSE CHARITIES OF MOBILE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2019
Last Update Date: 06/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1626 SPRING HILL AVE
MOBILE AL
36604-1415
US

IV. Provider business mailing address

1626 SPRING HILL AVE
MOBILE AL
36604-1415
US

V. Phone/Fax

Practice location:
  • Phone: 251-694-6873
  • Fax: 251-438-2222
Mailing address:
  • Phone: 251-694-6873
  • Fax: 251-438-2222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State

VIII. Authorized Official

Name: PAUL GIARDINA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 251-694-6873