Provider Demographics
NPI:1215193073
Name:FLINT RIVER HOSPICE, INC.
Entity Type:Organization
Organization Name:FLINT RIVER HOSPICE, INC.
Other - Org Name:FLINT RIVER HOSPICE - ENTERPRISE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:LITWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-261-3544
Mailing Address - Street 1:6308 KIDRON PL
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-2150
Mailing Address - Country:US
Mailing Address - Phone:205-261-3544
Mailing Address - Fax:205-655-5523
Practice Address - Street 1:1253 RUCKER BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330-3677
Practice Address - Country:US
Practice Address - Phone:205-261-3544
Practice Address - Fax:205-655-5523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based