Countryside Hospice Care, INC
Hospice Care, Community Based in Calhoun, GA. Organization (NPI-2).
NPI number1245562107
StatusActive
Last updated in NPPESFeb 16, 2012
Details
- NPI
- 1245562107
- Entity type
- Organization (NPI-2)
- Legal business name
- Countryside Hospice Care, INC
- Organization subpart
- No
- Enumeration date
- Feb 3, 2010
- Last updated
- Feb 16, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251G00000X | Hospice Care, Community Based | 146-142-H | GA | Yes |
Other names
- Solamor Hospice Calhoun (Doing Business As)
Practice location
189 Professional Ct SeSuite 300
Calhoun, GA 30701-7053
Phone 706-602-9001
Mailing address
101 Sun Ave NeAlbuquerque, NM 87109-4373
Phone 505-468-5604 · Fax 505-468-4681
Authorized official
Glen Cavallo
Sr. Vp - Operations
4799965900
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