Organization
LIFE CARE HOSPICE, LLC
Active
Other names
Life Care Hospice, Birmingham
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI GAIL TRULL (ADMINISRTATOR)
(256) 339-0431
Entity
Organization
Contact information
Practice address
934 GRUBBS AVE, GARDENDALE, AL 35071-2637
(205) 631-6636
(205) 631-6607
Mailing address
934 GRUBBS AVE, GARDENDALE, AL 35071-2637
(205) 631-6636
(205) 631-6607
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
6465
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073-P3725
SHPDA ID NUMBER
AL
01
—
E3727
STALE LICENSE
AL
Enumeration date
05/25/2011
Last updated
09/18/2013
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