Organization
LAKESIDE HOSPICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL M GARING (EXECUTIVE DIRECTOR)
(205) 884-1111
Entity
Organization
Contact information
Practice address
4010 MASTERS RD, PELL CITY, AL 35128-7550
(205) 884-1111
(205) 884-1114
Mailing address
4010 MASTERS RD, PELL CITY, AL 35128-7550
(205) 884-1111
(205) 884-1114
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
10266
AL
251G00000X
Community Based Hospice Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010-727
BCBS
AL
05
—
P1C1526E
—
AL
Enumeration date
06/08/2005
Last updated
02/04/2019
Update your record
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