Countryside Hospice Care INC

NPI #1710925227 in Roanoke, Alabama

Provider Information

NPI Number
1710925227
Entity Type
Organization
Organization Name
Countryside Hospice Care INC
Subpart
Yes (part of a larger organization)
Parent Organization
COUNTRYSIDE HOSPICE CARE INC
Primary Specialty
Hospice Care, Community Based
Enumeration Date
Jun 4, 2006
Last Updated
Jan 26, 2011

Practice Location

Address
3355 HIGHWAY 431
Address 2
SUITE 3
State
Alabama
ZIP Code
36274-2723
Phone
(334) 863-4984

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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