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Search › Alabama › 320900000X

Jacqueline Walls

NPI 1033656939 · on the registry since 2017 · sole proprietor

Practice

Address
803 Floyd Ave
Demopolis, AL 36732
Phone
(334) 349-6916
Organisation at this address
Angel Wing Residential Care Home
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
320900000X
320900000X
Also registered as
163W00000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-01-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama