Organization
CHATTAHOOCHEE HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAYE C MAXWELL (ADMINISTRATOR)
(334) 756-8043
Entity
Organization
Contact information
Practice address
6 MEDICAL PARK NORTH, VALLEY, AL 36854
(334) 756-8043
(334) 756-8059
Mailing address
6 MEDICAL PARK NORTH, VALLEY, AL 36854
(334) 756-8043
(334) 756-8059
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
000-107H
GA
251G00000X
Community Based Hospice Care Agency
Primary
10193
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010484
BC/BS OF AL
AL
05
—
PIC1524E
—
AL
Enumeration date
02/06/2006
Last updated
08/22/2020
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