Organization
COUNTRYSIDE HOSPICE CARE, INC
Active
Other names
SolAmor Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN CAVALLO (SR. VP - OPERATIONS)
(479) 996-5900
Entity
Organization
Contact information
Practice address
101 SUN AVE NE, ALBUQUERQUE, NM 87109-4373
(505) 468-5604
(505) 468-4681
Mailing address
3522 VANN RD, SUITE 100, BIRMINGHAM, AL 35235-3224
(205) 655-2229
(205) 655-3031
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
E3735
AL
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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