Provider Demographics
NPI:1447432901
Name:BALL MANAGEMENT LLC
Entity Type:Organization
Organization Name:BALL MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:VANN
Authorized Official - Last Name:BALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-477-6161
Mailing Address - Street 1:6440 OLD TUSCALOOSA HWY
Mailing Address - Street 2:
Mailing Address - City:MC CALLA
Mailing Address - State:AL
Mailing Address - Zip Code:35111-3606
Mailing Address - Country:US
Mailing Address - Phone:205-477-6161
Mailing Address - Fax:205-477-5566
Practice Address - Street 1:6440 OLD TUSCALOOSA HWY
Practice Address - Street 2:
Practice Address - City:MC CALLA
Practice Address - State:AL
Practice Address - Zip Code:35111-3606
Practice Address - Country:US
Practice Address - Phone:205-477-6161
Practice Address - Fax:205-477-5566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12743310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1309300001Medicare NSC