Organization
SOUTHEAST HOSPICE NETWORK, LLC
Active
Parent organization
SOUTHEAST HOSPICE NETWORK, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEAST HOSPICE NETWORK, LLC
Authorized official
DEBORA WILSON RN,BSN (EXECUTIVE DIRECTOR)
(205) 706-6809
Entity
Organization
Contact information
Practice address
4330 HIGHWAY 78 E, SUITE 120-121, JASPER, AL 35501-8905
(205) 387-2300
Mailing address
1635 MCFARLAND BLVD N STE 503, TUSCALOOSA, AL 35406-2204
(205) 366-9920
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PIC1663E
—
AL
Enumeration date
01/02/2007
Last updated
05/20/2019
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