| NPI | 1710925227 |
|---|---|
| Doing Business As | COUNTRYSIDE HOSPICE ROANOKE |
| Entity Type | Organization |
| Authorized Contact | GLEN CAVALLO Sr. VP Operations 479-996-5900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2011-01-26 |