Countryside Hospice Care, INC
NPI #1093086811 in Lagrange, Georgia
Provider Information
- NPI Number
- 1093086811
- Entity Type
- Organization
- Organization Name
- Countryside Hospice Care, INC
- Primary Specialty
- Hospice Care, Community Based
- Enumeration Date
- Jan 25, 2012
- Last Updated
- Feb 16, 2012
Practice Location
Authorized Official
- Name
- GLEN CAVALLO
- Title
- SR. VP - OPERATIONS
- Phone
- (479) 996-5900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hospice Care, Community Based |
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