Organization
FAITH HOSPICE, INC.
Active
Other names
Faith Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES WAYNE WILLARD SR. R.N. (PRESIDENT / CEO)
(256) 215-6006
Entity
Organization
Contact information
Practice address
625 ALEX CITY SHOPPING CTR DR, ALEXANDER CITY, AL 35010-2787
(256) 215-6006
Mailing address
625 ALEX CITY SHOPPING CTR DR, ALEXANDER CITY, AL 35010-2787
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
11748
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012-250
BLUE CROSS PREFERRED
AL
05
—
PIC1581E
—
AL
Enumeration date
04/24/2006
Last updated
08/22/2020
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