COUNTRYSIDE HOSPICE CARE INC NPI 1710925227

NPI Information

COUNTRYSIDE HOSPICE CARE INC is a hospice care community based in Roanoke, AL. COUNTRYSIDE HOSPICE CARE INC NPI is 1710925227. The provider is registered as an organization entity type.
The provider Is Doing Business As Countryside Hospice Roanoke.

The provider's business location address is:

3355 HIGHWAY 431
SUITE 3
ROANOKE, AL
ZIP 36274-723
Phone: (334) 863-4984
Fax: (334) 863-4999

The provider's authorized official is Glen Cavallo .
The authorized official title is Sr. Vp - Operations and has the following contact phone number (479) 996-5900.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 1/26/2011.

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:

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