Provider Demographics
NPI:1679134654
Name:RONALD MCDONALD HOUSE CHARITIES OF MOBILE, INC.
Entity Type:Organization
Organization Name:RONALD MCDONALD HOUSE CHARITIES OF MOBILE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:GIARDINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-694-6873
Mailing Address - Street 1:1626 SPRING HILL AVE
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36604-1415
Mailing Address - Country:US
Mailing Address - Phone:251-694-6873
Mailing Address - Fax:251-438-2222
Practice Address - Street 1:1626 SPRING HILL AVE
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-1415
Practice Address - Country:US
Practice Address - Phone:251-694-6873
Practice Address - Fax:251-438-2222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-21
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging
No174200000XOther Service ProvidersMeals
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALRMHCAL1Medicaid