Organization
COMFORT CARE COASTAL HOSPICE, LLC
Active
Other names
Aveanna Hospice of Fairhope, Aveanna Hospice of Mobile
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BUCKHALTER (CFO)
(470) 464-8000
Entity
Organization
Contact information
Practice address
22502 U.S. HIGHWAY 98, FAIRHOPE, AL 36532
(205) 942-6820
Mailing address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
(470) 464-8000
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
E4903
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PIC1502E
—
AL
Enumeration date
11/09/2015
Last updated
01/31/2025
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