Countryside Hospice Care, INC

NPI #1245562107 in Calhoun, Georgia

Provider Information

NPI Number
1245562107
Entity Type
Organization
Organization Name
Countryside Hospice Care, INC
Primary Specialty
Hospice Care, Community Based
Enumeration Date
Feb 3, 2010
Last Updated
Feb 16, 2012

Practice Location

Address
189 PROFESSIONAL CT SE
Address 2
SUITE 300
State
Georgia
ZIP Code
30701-7053
Phone
(706) 602-9001

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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