Organization
HOSPICE OF WEST ALABAMA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATRELLE PORTER BELL LBSW (EXECUTIVE DIRECTOR)
(205) 523-0101
Entity
Organization
Contact information
Practice address
3851 LOOP RD, TUSCALOOSA, AL 35404-5040
(205) 523-0101
(205) 523-0102
Mailing address
3851 LOOP RD, TUSCALOOSA, AL 35404-5040
(205) 523-0101
(205) 523-0102
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
10278
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010497
BLUE CROSS/BLUE SHEILD
AL
05
—
PIC1517E
—
AL
Enumeration date
06/16/2005
Last updated
07/12/2012
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