NPI 1710925227

Countryside Hospice Care INC

Organisation Community Based Hospice Care Agency Roanoke, AL

Practice location

Address: 3355 Highway 431 Suite 3, Roanoke, AL 36274-2723
Phone: (334) 863-4984
Fax: (334) 863-4999
Mailing address: 101 Sun Ave NE, Albuquerque, NM 87109-4373

Authorised official

Name: Glen Cavallo
Title: Sr. Vp - Operations
Phone: (479) 996-5900

Registered specialties

Community Based Hospice Care Agency Primary

Agencies Taxonomy 251G00000X

Other Hospice Care, Community Based providers in Alabama →

Registry record

NPI: 1710925227
Entity type: Organization
NPI issued: 4 Jun 2006
Record last updated: 26 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.