NPI 1790723211 · live from the CMS NPI Registry
Countryside Hospice Care INC
Hospice Care, Community Based in Jacksonville, AL. National Provider Identifier 1790723211, active.
NPI record
| NPI | 1790723211 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 320 Branscomb Dr Sw, Suite D, Jacksonville, AL 36265 |
| Practice phone | 256-235-2999 |
| Mailing address | 101 Sun Ave Ne, Albuquerque, NM 87109 |
| Enumerated | June 4, 2006 |
| Last updated | August 3, 2011 |
| Authorized official | Glen Cavallo, Sr. Vp Of Operations |
| Other names | Solamore Hospice Jacksonville |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.