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Countryside Hospice Care Inc
Community Based Hospice Care Agency in Andalusia, Alabama
NPI 1275571259

Countryside Hospice Care Inc is a Community Based Hospice Care Agency based in Anniston, AL. Countryside Hospice Care Inc practices in Andalusia, AL. The NPI Number for Countryside Hospice Care Inc is 1275571259 and holds a License No. 11636 (Alabama).

The current practice location address for Countryside Hospice Care Inc is 955 S Three Notch St, Andalusia, AL and can be reached out via phone at 334-222-7048 and via fax at 334-427-7246.

Location: 955 S Three Notch St, Andalusia, AL, 36201-4607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275571259
Provider Name
Countryside Hospice Care Inc
Credential
Provider Entity Type
Organization
Address
955 S Three Notch St, Andalusia, AL, 36201-4607
Phone Number
334-222-7048
Fax Number
334-427-7246
Provider Enumeration Date
06/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11636 01 AL ALABAMA HOSPICE LICENSE
PIC1547E 05 AL
institution
Provider Business Practice Location Address Details
Address
955 S Three Notch St
City
Andalusia
State
Alabama
Zip
36420-5231
Phone Number
334-222-7048
Fax Number
334-427-7246
person
Provider Business Mailing Address Details
Address
955 S Three Notch St
City
Andalusia
State
Alabama
Zip
36420-5231
Phone Number
334-222-7048
Fax Number
334-427-7246
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
251G00000X
License No.
11636 (Alabama)
Definition
Definition to come...
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