Countryside Hospice Care, INC

NPI #1013248814 in Canton, Georgia

Provider Information

NPI Number
1013248814
Entity Type
Organization
Organization Name
Countryside Hospice Care, INC
Primary Specialty
Hospice Care, Community Based
Enumeration Date
Jan 19, 2010
Last Updated
Feb 16, 2012

Practice Location

Address
203 OAKSIDE LN
Address 2
BUILDING 203, SUITE B
City
Canton
State
Georgia
ZIP Code
30114-6407
Phone
(770) 704-9982

Authorized Official

Name
MR. GLEN CAVALLO
Title
SR. VP - OPERATIONS
Phone
(479) 996-5900

Specialties & Taxonomy Codes

Specialty
Hospice Care, Community Based

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