COUNTRYSIDE HOSPICE CARE INC; NPI #1790723211

Contact Information

COUNTRYSIDE HOSPICE CARE INC

320 BRANSCOMB DR SW
SUITE D
JACKSONVILLE, AL 36265

Phone: 256-235-2999
Fax: 256-782-3590
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for COUNTRYSIDE HOSPICE CARE INC

NPI Number 1790723211

LBN Legal business name COUNTRYSIDE HOSPICE CARE INC

Authorized official GLEN CAVALLO - (SR. VP OF OPERATIONS)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 06/04/2006

Last updated 08/03/2011 - About 15 years ago

Identifiers

Medicaid

PIC1579E

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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COUNTRYSIDE HOSPICE CARE INC

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for COUNTRYSIDE HOSPICE CARE INC

Reviews for COUNTRYSIDE HOSPICE CARE INC