Organization
COUNTRYSIDE HOSPICE CARE, INC
Active
Other names
SolAmor Hospice Calhoun
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN CAVALLO (SR. VP - OPERATIONS)
(479) 996-5900
Entity
Organization
Contact information
Practice address
189 PROFESSIONAL CT SE, SUITE 300, CALHOUN, GA 30701-7053
(706) 602-9001
Mailing address
101 SUN AVE NE, ALBUQUERQUE, NM 87109-4373
(505) 468-5604
(505) 468-4681
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
146-142-H
GA
Other
Enumeration date
02/03/2010
Last updated
02/16/2012
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