Organization
HOSPICE OF MONTGOMERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENILLE V BALL RN (EXECUTIVE DIRECTOR)
(334) 279-6677
Entity
Organization
Contact information
Practice address
1111 HOLLOWAY PARK, MONTGOMERY, AL 36117-1902
(334) 279-6677
(334) 277-2223
Mailing address
1111 HOLLOWAY PARK, MONTGOMERY, AL 36117-1902
(334) 279-6677
(334) 277-2223
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
11724
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010371
BLUE CROSS BLUE SHIELD
AL
05
—
PIC1523E
—
AL
Enumeration date
05/19/2006
Last updated
08/22/2020
Update your record
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