Organization · Type 2 NPI
Countryside Hospice Care Inc
Community Based Hospice Care Agency · La Fayette, GA
NPI number
1265470249
Active
Practice location
106 Pearl Dr, Suite 107
La Fayette, GA 30728-7509
Fax (706) 638-7545
Mailing address
101 Sun Ave NE
Albuquerque, NM 87109-4373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Based Hospice Care Agency Primary | 251G00000X | 146142H (GA) |
Community Based Hospice Care Agency: Definition to come...
6 other providers at this address
- Performance Physical Therapy & Sports Medicine IncPhysical Therapist La Fayette, GA NPI 1871738872
- Jensen Hackett Wages, DPTPhysical Therapist La Fayette, GA NPI 1538517966
- Lauren Taylor Shank, DPTPhysical Therapist La Fayette, GA NPI 1366889511
- Matthew Samuel Gregory, PTPhysical Therapist La Fayette, GA NPI 1356637623
- Michael Anthony Trammell, PTAPhysical Therapy Assistant La Fayette, GA NPI 1356586218
- Virginia Baldwin KohlPhysical Therapy Assistant La Fayette, GA NPI 1902231459
About NPI 1265470249
Countryside Hospice Care Inc's National Provider Identifier is 1265470249, issued on Jun 3, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in La Fayette, GA. The record was last updated on Feb 16, 2012.