Healthcare Provider Details

I. General information

NPI: 1518956424
Provider Name (Legal Business Name): LITTLE SISTERS OF THE POOR HOME FOR THE AGED INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1655 MCGILL AVE
MOBILE AL
36604-1218
US

IV. Provider business mailing address

1655 MCGILL AVE
MOBILE AL
36604-1218
US

V. Phone/Fax

Practice location:
  • Phone: 251-476-6335
  • Fax: 251-478-6519
Mailing address:
  • Phone: 251-476-6335
  • Fax: 251-478-6519

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: GINGER REBECCA LYNDALL
Title or Position: RESIDENT SERVICES COORDINATOR
Credential:
Phone: 251-476-6335