Countryside Hospice Care INC
NPI #1790723211 in Jacksonville, Alabama
Provider Information
- NPI Number
- 1790723211
- Entity Type
- Organization
- Organization Name
- Countryside Hospice Care INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SOLAMOR HOSPICE
- Primary Specialty
- Hospice Care, Community Based
- Enumeration Date
- Jun 4, 2006
- Last Updated
- Aug 3, 2011
Practice Location
- Address
- 320 BRANSCOMB DR SW
- Address 2
- SUITE D
- City
- Jacksonville
- State
- Alabama
- ZIP Code
- 36265
- Phone
- (256) 235-2999
Authorized Official
- Name
- MR. GLEN CAVALLO
- Title
- SR. VP OF OPERATIONS
- Phone
- (479) 996-5900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hospice Care, Community Based |
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