Whalio Doctors

NPI 1912377425

Louise's Promise LLC

Organisation PACE Provider Organization Vestavia, AL

Practice location

Address
4240 Cahaba Dr, Vestavia, AL 35243-1600
Phone
(205) 441-3106

Authorised official

Name
Carol Rae Shinnette
Title
Executive Director
Phone
(205) 441-3106

Registered specialties

PACE Provider Organization Primary
Agencies Taxonomy 251T00000X Licence 15019719 (AL)

Registry record

NPI
1912377425
Entity type
Organization
NPI issued
28 Sep 2015
Record last updated
28 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.