| Organization Name: | LIFE CARE HOSPICE LLC |
| NPI Number: | 1043534274 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VICKI G. TRULL (ADMINISTRATOR) |
| Mailing Address: | 934 Grubbs Avenue Gardendale |
| State: | AL US |
| Postal Code: | 350713200 |
| Phone Number: | 2056316636 |
| Fax Number: | 2056316607 |
| NPI Enumeration Date: | 03/17/2010 |
| NPI Last Update Date: | 09/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 10211 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |