COUNTRYSIDE HOSPICE CARE, INC

LAGRANGE, GA
NPI1093086811
Doing Business AsSOLAMOR HOSPICE LAGRANGE
Entity TypeOrganization
Authorized ContactGLEN CAVALLO
Sr. VP Operations
479-996-5900
Organization Subpart ?No
Primary Taxonomy251G00000X Hospice Care, Community Based
(Licence: GA  038-156H)
Enumeration Date2012-01-25
Last Update Date2012-02-16
Business Address
COUNTRYSIDE HOSPICE CARE, INC
105 CORPORATE PLAZA DR
LAGRANGE, GA 30241-2801
Phone number: 706-845-8755
Mailing Address
COUNTRYSIDE HOSPICE CARE, INC
101 SUN AVE NE
ALBUQUERQUE, NM 87109-4373
Phone number: 505-468-4681
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