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Countryside Hospice Care, Inc.
Community Based Hospice Care Agency in Decatur, Georgia
NPI 1508136862

Countryside Hospice Care, Inc. is a Community Based Hospice Care Agency based in Irvine, GA. Countryside Hospice Care, Inc. practices in Decatur, GA. The NPI Number for Countryside Hospice Care, Inc. is 1508136862 and holds a License No. 01-1579PSL (Georgia).

The current practice location address for Countryside Hospice Care, Inc. is 801 Church Street Ne, Decatur, GA and can be reached out via phone at 256-432-2718.

Location: 801 Church Street Ne, Decatur, GA, 92612-1533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508136862
Provider Name
Countryside Hospice Care, Inc.
Credential
Provider Entity Type
Organization
Address
801 Church Street Ne, Decatur, GA, 92612-1533
Phone Number
256-432-2718
Fax Number
Provider Enumeration Date
01/04/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PIC1579EPSL 05 AL
institution
Provider Business Practice Location Address Details
Address
801 Church Street Ne
City
Decatur
State
Georgia
Zip
35601-2400
Phone Number
256-432-2718
Fax Number
person
Provider Business Mailing Address Details
Address
801 Church Street Ne
City
Decatur
State
Georgia
Zip
35601-2400
Phone Number
256-432-2718
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
251G00000X
License No.
01-1579PSL (Alabama)
Definition
Definition to come...
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