1265470249 COUNTRYSIDE HOSPICE CARE INC
Community Based Hospice Care Agency
Active
Basic Information
- Organization Name
- COUNTRYSIDE HOSPICE CARE INC
- Enumeration Date
- June 3, 2006
- Last Update
- February 16, 2012
- Authorized Official
- MR. GLEN CAVALLO
SR. VP - OPERATIONS
Phone: (479) 996-5900
Practice Location
- Address
- 106 PEARL DR
SUITE 107
LA FAYETTE, GA 307287509 - Phone
- (706) 638-7651
- Fax
- (706) 638-7545
Mailing Address
- Address
- 101 SUN AVE NE
ALBUQUERQUE, NM 871094373 - Phone
- (505) 468-5604
- Fax
- (505) 468-4681
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Hospice Care, Community Based | 146142H | GA | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00850044A | 05 | GA | N/A |
| 146142H | 01 | GA | GEORGIA HOSPICE LICENSE |
Frequently Asked Questions
What is COUNTRYSIDE HOSPICE CARE INC's NPI number?
COUNTRYSIDE HOSPICE CARE INC's NPI number is 1265470249.
Which doctor has NPI number 1265470249?
The doctor with NPI number 1265470249 is COUNTRYSIDE HOSPICE CARE INC.
What is COUNTRYSIDE HOSPICE CARE INC's practice address?
COUNTRYSIDE HOSPICE CARE INC's practice address is 106 PEARL DR, SUITE 107, LA FAYETTE, GA, 307287509.
Which doctor practices at 106 PEARL DR, SUITE 107, LA FAYETTE, GA, 307287509?
COUNTRYSIDE HOSPICE CARE INC practices at 106 PEARL DR, SUITE 107, LA FAYETTE, GA, 307287509.
What is COUNTRYSIDE HOSPICE CARE INC's mailing address?
COUNTRYSIDE HOSPICE CARE INC's mailing address is 101 SUN AVE NE, ALBUQUERQUE, NM, 871094373.
What is COUNTRYSIDE HOSPICE CARE INC's phone number?
COUNTRYSIDE HOSPICE CARE INC's phone number is (706) 638-7651.
Who is (706) 638-7651?
(706) 638-7651 is the phone number for COUNTRYSIDE HOSPICE CARE INC.
What is COUNTRYSIDE HOSPICE CARE INC's specialty?
COUNTRYSIDE HOSPICE CARE INC's specialty is Community Based Hospice Care Agency.
What type of doctor is COUNTRYSIDE HOSPICE CARE INC?
COUNTRYSIDE HOSPICE CARE INC is a Community Based Hospice Care Agency.
Is COUNTRYSIDE HOSPICE CARE INC a Hospice Care, Community Based?
Yes, COUNTRYSIDE HOSPICE CARE INC is a Hospice Care, Community Based.
Is COUNTRYSIDE HOSPICE CARE INC still practicing?
Yes, COUNTRYSIDE HOSPICE CARE INC is currently practicing.
Is COUNTRYSIDE HOSPICE CARE INC accepting new patients?
COUNTRYSIDE HOSPICE CARE INC may be accepting new patients. Please call their office at (706) 638-7651 to inquire about availability.
Is NPI 1265470249 still active?
Yes, NPI 1265470249 is currently active.
Where does COUNTRYSIDE HOSPICE CARE INC practice?
COUNTRYSIDE HOSPICE CARE INC practices in LA FAYETTE, GA.