WIREGRASS HOSPICE LLC NPI 1770519324

NPI Information

WIREGRASS HOSPICE, LLC is a hospice care community based in Dothan, AL. WIREGRASS HOSPICE, LLC NPI is 1770519324. The provider is registered as an organization entity type.
The provider Is Doing Business As Gentiva.

The provider's business location address is:

2431 W MAIN ST STE 1102
DOTHAN, AL
ZIP 36301-250
Phone: (334) 792-1100
Fax: (334) 671-4168

The provider's authorized official is Janet Combs .
The authorized official title is Vp Of Licensure and has the following contact phone number (704) 664-2876.

The CLIA number assigned to this NPI record is 01D1020277 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2006 and was last updated on 1/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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