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General NPI Number Information
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NPI Number | 1346276938
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Entity Type | Organization
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Legal Business Name | BALL HEALTHCARE - LOWNDES, INC.
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 629 STATE HIGHWAY 21 SOUTH
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City | HAYNEVILLE
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State | AL
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Zip | 36040-6033
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Country | US
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Telephone | 334-548-5995
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Fax | 334-548-5980
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Provider Business Mailing Address
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Address Line | 1 SOUTHERN WAY
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City | MOBILE
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State | AL
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Zip | 36619-1210
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Country | US
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Telephone | 251-433-9801
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Fax | 251-433-9807
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JACQUELYN BURRELL GREENE
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Credential |
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Telephone | 334-548-5995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 12603
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License Number State | AL
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