Organization
ST. JUDE CATHOLIC HOSPITAL
Active
Other names
Father Purcell Memorial Exceptional Children's Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM P. PALOMARIA N.H.A. (ADMINISTRATOR)
(334) 834-5590
Entity
Organization
Contact information
Practice address
1820 OAK STRRET, MONTGOMERY, AL 36108
(334) 834-5590
(334) 834-5602
Mailing address
2048 W FAIRVIEW AVE, MONTGOMERY, AL 36108-4196
(334) 834-5590
(334) 834-5602
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
N5104
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4754450S
—
AL
Enumeration date
03/20/2007
Last updated
08/22/2020
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