Organization · Type 2 NPI

Countryside Hospice Care, Inc.

Community Based Hospice Care Agency · Decatur, GA

NPI number 1508136862 Active

Practice location

801 Church Street NE, Suites 6 And 7
Decatur, GA 35601-2400

Call (256) 432-2718 Map

Mailing address

18831 Von Karman Blvd., Suite 400
Irvine, CA 92612-1533

Specialties and licenses

TaxonomyCodeLicense
Community Based Hospice Care Agency Primary 251G00000X01-1579PSL (AL)

Community Based Hospice Care Agency: Definition to come...

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About NPI 1508136862

Countryside Hospice Care, Inc.'s National Provider Identifier is 1508136862, issued on Jan 4, 2012. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Decatur, GA. The record was last updated on Jan 4, 2012.