Organization
BALL HEALTHCARE-JEFFERSON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKIE CARTER (ADMINISTRATOR)
(205) 796-0214
Entity
Organization
Contact information
Practice address
1250 JEFF GERMANY PKWY, BIRMINGHAM, AL 35214-4484
(205) 796-0214
(205) 796-0169
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
12587
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4758100S
—
AL
Enumeration date
06/18/2006
Last updated
03/08/2021
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