Organization
KELLEY HEALTH HOSPICE
Active
Other names
Southeast Hospice Network
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA STEWART (PRESIDENT)
(205) 471-6212
Entity
Organization
Contact information
Practice address
453 19TH ST W, JASPER, AL 35501-5349
(205) 387-2300
(205) 387-2301
Mailing address
903 11TH ST NE, JASPER, AL 35504-8821
(205) 471-6212
(205) 387-1912
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PIC1663E
—
AL
Enumeration date
04/13/2020
Last updated
06/01/2021
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