Wellformed AI

NPI 1336137488 · live from the CMS NPI Registry

Father Walter Memorial Child Care Center

Skilled Nursing Facility, Nursing Care, Pediatric in Montgomery, AL. National Provider Identifier 1336137488, active.

NPI record

NPI1336137488 Type 2 · organization
StatusActive
Primary specialtySkilled Nursing Facility, Nursing Care, Pediatric 3140N1450X
Practice location2815 Forbes Dr, Montgomery, AL 36110
Practice phone334-262-6421
EnumeratedOctober 12, 2005
Last updatedAugust 22, 2020
Authorized officialYataisha Robertson, Director Of Nursing

Taxonomies and licenses

TaxonomyCodeLicense
Skilled Nursing Facility, Nursing Care, Pediatric primary3140N1450X08394 (AL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.