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Organization

LIFE CARE HOSPICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TAMMY M JONES (ADMINISTRATOR)
(256) 734-1170
Entity
Organization

Contact information

Practice address
2108 ALABAMA HIGHWAY 157, CULLMAN, AL 35058
(256) 734-1170
(256) 734-7576
Mailing address
2108 ALABAMA HIGHWAY 157, CULLMAN, AL 35058
(256) 734-1170
(256) 734-7576

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
10211
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
012283
BLUE CROSS/BLUE SHIELD
AL
05
PIC1580E
AL
Enumeration date
06/16/2005
Last updated
08/22/2020
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