Organization · Type 2 NPI
Countryside Hospice Care Inc
Community Based Hospice Care Agency · Jacksonville, AL
NPI number
1790723211
Active
Practice location
320 Branscomb Dr SW, Suite D
Jacksonville, AL 36265
Fax (256) 782-3590
Mailing address
101 Sun Ave NE
Albuquerque, NM 87109-4373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Based Hospice Care Agency Primary | 251G00000X | None listed |
Community Based Hospice Care Agency: Definition to come...
About NPI 1790723211
Countryside Hospice Care Inc's National Provider Identifier is 1790723211, issued on Jun 4, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Jacksonville, AL. The record was last updated on Aug 3, 2011.