institution
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. You can also correspond with Countryside Hospice Care, Inc. through the mailing address at 18831 VON KARMAN BLVD., IRVINE, CA - 92612-1533 (mailing address contact number: 949-255-7129).

Location: 801 Church Street Ne, Decatur, GA, 92612-1533
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
State
Zip
35601-2400
Phone Number
256-432-2718
Fax Number
person
Provider Business Mailing Address Details
Address
18831 Von Karman Blvd.
City
State
Zip
92612-1533
Phone Number
949-255-7129
Fax Number
505-468-9250
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
License No.
01-1579PSL (Alabama)
Definition
Definition to come...
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