# CARDIO-PULMONARY REHABILITATION (C.P.R.)

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528739984
- **Authorized official:** LAWANDA S FANTROY APRN (CEO)
- **Authorized official phone:** (228) 235-6015

## Contact information

- **Practice address:** 11 N WATER ST STE 10290, MOBILE, AL 36602-5010
- **Practice address phone:** (228) 235-6015
- **Mailing address:** 4361 TERRACE DR, MOSS POINT, MS 39563-5635
- **Mailing address phone:** (228) 235-6015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2100X | Acute Care Nurse Practitioner | — | NULL | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2021
- **Last updated:** 09/24/2021