# ST. MARY'S HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Archdiocese of Mobile
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427167444
- **Authorized official:** MR. PHILLIP ANDREW WYNNE MSW (ADMININSTRATOR)
- **Authorized official phone:** (251) 344-7733

## Contact information

- **Practice address:** 4350 MOFFETT RD, MOBILE, AL 36618-1719
- **Practice address phone:** (251) 344-7733
- **Practice address fax:** (251) 344-9753
- **Mailing address:** 4350 MOFFETT RD, MOBILE, AL 36618-1719
- **Mailing address phone:** (251) 344-7733
- **Mailing address fax:** (251) 344-9753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 000228 | AL | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 08/22/2020