Organization
ALLEN MEMORIAL HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL A ROBINSON (ADMINISTRATOR)
(251) 433-2642
Entity
Organization
Contact information
Practice address
735 S WASHINGTON AVE, MOBILE, AL 36603-1301
(251) 433-2642
(251) 433-5502
Mailing address
735 S WASHINGTON AVE, MOBILE, AL 36603-1301
(251) 433-2642
(251) 433-5502
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10608
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10608
STATE OF ALABAMA
AL
05
—
4750980S
—
AL
Enumeration date
12/22/2005
Last updated
09/02/2013
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