Organization
HOSPICE OF THE SHOALS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH N CAGLE JR. MBA (PRESIDENT/CEO)
(256) 767-6699
Entity
Organization
Contact information
Practice address
115 FAIRGROUND RD, FLORENCE, AL 35630-1283
(256) 767-6699
(256) 767-3116
Mailing address
115 FAIRGROUND RD, FLORENCE, AL 35630-1283
(256) 767-6699
(256) 767-3116
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
11688
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43113
BLUE CROSS/BLUE SHIELD
AL
05
—
PIC1530E
—
AL
Enumeration date
06/04/2006
Last updated
08/22/2020
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