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Organization
FATHER WALTER MEMORIAL CHILD CARE CENTER
Active
Organization
FATHER WALTER MEMORIAL CHILD CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS YATAISHA FELEESE ROBERTSON RN (DIRECTOR OF NURSING)
(334) 230-1935
Entity
Organization
Contact information
Practice address
2815 FORBES DR, MONTGOMERY, AL 36110-1307
(334) 262-6421
(334) 262-2265
Mailing address
2815 FORBES DR, MONTGOMERY, AL 36110-1307
(334) 262-6421
(334) 262-2265
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
08394
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4751050S
—
AL
Enumeration date
10/12/2005
Last updated
08/22/2020
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