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Organization

HOSPICE ADVANTAGE MIDCO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUSSELL ADKINS (SVP GENERAL COUNSEL)
(615) 309-5668
Entity
Organization

Contact information

Practice address
665 OPELIKA RD STE 200, AUBURN, AL 36830-4086
(334) 826-1899
(334) 826-0756
Mailing address
10 CADILLAC DR STE 400, BRENTWOOD, TN 37027-1001
(615) 377-7022
(615) 373-4457

Taxonomy

Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD21920
AL

Other

Enumeration date
07/19/2017
Last updated
06/09/2020
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