Provider Demographics
NPI:1275890121
Name:HOSPICE SERVICES OF ALABAMA
Entity Type:Organization
Organization Name:HOSPICE SERVICES OF ALABAMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ORR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-682-9996
Mailing Address - Street 1:2367 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35244-3304
Mailing Address - Country:US
Mailing Address - Phone:205-682-9996
Mailing Address - Fax:205-682-9994
Practice Address - Street 1:2367 LAKESIDE DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35244-3304
Practice Address - Country:US
Practice Address - Phone:205-682-9996
Practice Address - Fax:205-682-9994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-17
Last Update Date:2012-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL315D00000X251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based