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General NPI Number Information
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NPI Number | 1518956424
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Entity Type | Organization
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Legal Business Name | LITTLE SISTERS OF THE POOR HOME FOR THE AGED INC
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 1655 MCGILL AVE
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City | MOBILE
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State | AL
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Zip | 36604-1218
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Country | US
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Telephone | 251-476-6335
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Fax | 251-478-6519
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Provider Business Mailing Address
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Address Line | 1655 MCGILL AVE
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City | MOBILE
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State | AL
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Zip | 36604-1218
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Country | US
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Telephone | 251-476-6335
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Fax | 251-478-6519
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Authorized Official
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Title or Position | RESIDENT SERVICES COORDINATOR
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Name | GINGER REBECCA LYNDALL
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Credential |
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Telephone | 251-476-6335
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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 |
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License Number State |
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