COUNTRYSIDE HOSPICE CARE INC. NPI 1295005437

NPI Information

COUNTRYSIDE HOSPICE CARE, INC. is a hospice care community based in Millbrook, AL. COUNTRYSIDE HOSPICE CARE, INC. NPI is 1295005437. The provider is registered as an organization entity type.
The provider Is Doing Business As Countryside Hospice-prattville.

The provider's business location address is:

5300 OAK TREE ROAD
SUITE B AND C
MILLBROOK, AL
ZIP 36054
Phone: (334) 285-5970

The provider's authorized official is Michael T. Berg .
The authorized official title is Corporate Secretary and has the following contact phone number (505) 821-3355.

The enumeration date for this NPI number is 1/5/2012 and was last updated on 1/5/2012.

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

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