1639117690 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
820 EBENEZER CHURCH RD
SUITE 106
SHARPSBURG, GA 302772073
Phone
(770) 252-4999
Fax
(770) 252-4743

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 038156H GA Primary

Other Identifiers

Identifier Type State Issuer
00894132A 05 GA N/A
038156H 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 1639117690.
Which doctor has NPI number 1639117690?
The doctor with NPI number 1639117690 is COUNTRYSIDE HOSPICE CARE INC.
What is COUNTRYSIDE HOSPICE CARE INC's practice address?
COUNTRYSIDE HOSPICE CARE INC's practice address is 820 EBENEZER CHURCH RD, SUITE 106, SHARPSBURG, GA, 302772073.
Which doctor practices at 820 EBENEZER CHURCH RD, SUITE 106, SHARPSBURG, GA, 302772073?
COUNTRYSIDE HOSPICE CARE INC practices at 820 EBENEZER CHURCH RD, SUITE 106, SHARPSBURG, GA, 302772073.
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 (770) 252-4999.
Who is (770) 252-4999?
(770) 252-4999 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 (770) 252-4999 to inquire about availability.
Is NPI 1639117690 still active?
Yes, NPI 1639117690 is currently active.
Where does COUNTRYSIDE HOSPICE CARE INC practice?
COUNTRYSIDE HOSPICE CARE INC practices in SHARPSBURG, GA.