Healthcare Provider Details

I. General information

NPI: 1396777512
Provider Name (Legal Business Name): INFIRMARY HOSPICE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 02/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3290 DAUPHIN STREET SUITE 505
MOBILE AL
36606-4055
US

IV. Provider business mailing address

3290 DAUPHIN STREET SUITE 505
MOBILE AL
36606-4055
US

V. Phone/Fax

Practice location:
  • Phone: 251-435-7460
  • Fax: 251-435-7499
Mailing address:
  • Phone: 251-435-7460
  • Fax: 251-435-7499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number07868
License Number StateAL

VIII. Authorized Official

Name: MRS. JOAN S BRAMLETT-MARMANDE
Title or Position: VICE PRES./ADMINISTRATOR
Credential:
Phone: 251-435-7460