COUNTRYSIDE HOSPICE CARE INC

LA FAYETTE, GA
NPI1265470249
Doing Business AsSOLAMOR HOSPICE LAFAYETTE
Entity TypeOrganization
Authorized ContactGLEN CAVALLO
Sr. VP Operations
479-996-5900
Organization Subpart ?Yes
Primary Taxonomy251G00000X Hospice Care, Community Based
(Licence: GA  146142H)
Enumeration Date2006-06-03
Last Update Date2012-02-16
Business Address
COUNTRYSIDE HOSPICE CARE INC
106 PEARL DR SUITE 107
LA FAYETTE, GA 30728-7509
Phone number: 706-638-7651
Mailing Address
COUNTRYSIDE HOSPICE CARE INC
101 SUN AVE NE
ALBUQUERQUE, NM 87109-4373
Phone number: 505-468-5604