Organization
HOSPICE OF TENNESSEE VALLEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BLAKE EDWARDS (ADMINISTRATOR)
(256) 767-1322
Entity
Organization
Contact information
Practice address
200 WEST TENNESSEE STREET, FLORENCE, AL 35630
(256) 767-1322
(256) 718-0077
Mailing address
200 WEST TENNESSEE STREET, FLORENCE, AL 35630
(256) 767-1322
(256) 718-0077
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
12844
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PIC1592E
—
AL
Enumeration date
08/22/2006
Last updated
11/21/2008
Update your record
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