Healthcare Provider Details

I. General information

NPI: 1285322123
Provider Name (Legal Business Name): ARABELLA HEALTH & WELLNESS OF MOBILE OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2023
Last Update Date: 08/28/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1758 SPRING HILL AVE
MOBILE AL
36607-3508
US

IV. Provider business mailing address

1758 SPRING HILL AVE
MOBILE AL
36607-3508
US

V. Phone/Fax

Practice location:
  • Phone: 251-479-0551
  • Fax: 251-479-0559
Mailing address:
  • Phone: 251-479-0551
  • Fax: 251-479-0559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: CHAIM N HERTZEL
Title or Position: MEMBER
Credential:
Phone: 901-930-6124