Organization
BALL HEALTHCARE EASTVIEW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARA L WALLACE (ADMINISTRATOR)
(205) 833-0146
Entity
Organization
Contact information
Practice address
7755 4TH AVE S, BIRMINGHAM, AL 35206-4425
(205) 833-0146
(205) 833-2978
Mailing address
1 SOUTHERN WAY, MOBILE, AL 36619-1210
(251) 433-9801
(251) 433-9807
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12569
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4750140S
—
AL
Enumeration date
06/24/2006
Last updated
11/14/2016
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