| NPI | 1760454631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYE C MAXWELL Administrator 334-756-8043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: AL 10193) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: GA 000-107H) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-08-22 |