Organization
HOMESTEAD HOSPICE OF SOUTHWEST ALABAMA, LLC
Active
Parent organization
CREATIVE HOSPICE HOLDING, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CREATIVE HOSPICE HOLDING, LLC
Authorized official
MS. JEANNE PETE (VP)
(770) 825-6550
Entity
Organization
Contact information
Practice address
13456 CHOCTAW AVE, GILBERTOWN, AL 36908-9502
(251) 843-3151
(251) 843-3158
Mailing address
10888 CRABAPPLE RD, ROSWELL, GA 30075-5850
(678) 966-0077
(678) 367-3718
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
E1205
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158932
—
AL
Enumeration date
12/09/2013
Last updated
06/29/2015
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