Organization
MERCY LIFE OF ALABAMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE LANCASTER (EXECUTIVE DIRECTOR)
(251) 621-4452
Entity
Organization
Contact information
Practice address
2900 SPRINGHILL AVE, MOBILE, AL 36607-1822
(251) 287-8420
(251) 621-4234
Mailing address
PO BOX 1090, DAPHNE, AL 36526-1090
(251) 287-8420
(251) 621-4234
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
AL
Other
Enumeration date
03/14/2011
Last updated
11/07/2011
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