Organization
HOSPICE FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINA JOHNSON (EXECUTIVE DIRECTOR)
(256) 650-1212
Entity
Organization
Contact information
Practice address
10000 SERENITY LANE SE, HUNTSVILLE, AL 35803
(256) 650-1212
(256) 880-2929
Mailing address
3304 WESTMILL DR SW, HUNTSVILLE, AL 35805-6132
(256) 650-1212
(256) 880-2929
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
11171
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010-674
BLUE CROSS BLUE SHIELD
AL
05
—
PIC1505E
—
AL
Enumeration date
12/21/2005
Last updated
07/21/2022
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