Organization
ABC HOSPICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH BARRON SANDERSON (CEO PRESIDENT)
(256) 638-3491
Entity
Organization
Contact information
Practice address
266 INDUSTRIAL DR, SUITE A, RAINSVILLE, AL 35986-4462
(256) 638-3491
(866) 479-2227
Mailing address
266 INDUSTRIAL DR, P O BOX 1486, RAINSVILLE, AL 35986-4462
(256) 638-3491
(866) 479-2227
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
11163
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PIC1626E
—
AL
Enumeration date
05/24/2006
Last updated
03/15/2010
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