Countryside Hospice Care Inc
Countryside Hospice Care Inc is a Community Based Hospice Care Agency in LA Fayette, Georgia. Licensed in Georgia. Registered with an NPI since 2006.
- Licensed in
- GA
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
106 Pearl Dr Ste 107LA Fayette, GA 30728-7509
Phone: (706) 638-7651
Fax: (706) 638-7545
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Based Hospice Care Agency (primary) | Taxonomy 251G00000X · Licence 146142H (GA) |
|---|
Record details
| NPI number | 1265470249 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Countryside Hospice Care Inc |
| Authorized official | Glen Cavallo — Sr. Vp - Operations · (479) 996-5900 |
| Other names | Solamor Hospice Lafayette |
| NPI enumerated | June 3, 2006 |
| Last updated in NPPES | February 16, 2012 |
| Mailing address | 101 Sun Ave Ne, Albuquerque, NM 87109-4373 |