Organization
CAHABA HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD WARE (CEO/OWNER)
(334) 418-0566
Entity
Organization
Contact information
Practice address
410 CHURCH ST, SELMA, AL 36701-4514
(334) 418-0566
(334) 418-0570
Mailing address
410 CHURCH ST, SELMA, AL 36701-4514
(334) 418-0566
(334) 418-0570
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
11646
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011-678
BCBS PROVIDER NUMBER
AL
05
—
PIC1549E
—
AL
Enumeration date
10/10/2006
Last updated
11/01/2011
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