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Organization

BALL HEALTHCARE DALLAS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ARMELIA K OLIVER (ADMINISTRATOR)
(334) 875-1868
Entity
Organization

Contact information

Practice address
2911 EARL GOODWIN PKWY, SELMA, AL 36703-2825
(334) 875-1868
(334) 875-6650
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
12522
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4757760S
AL
Enumeration date
08/14/2006
Last updated
03/31/2016
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