| Organization Name: | HOMESTEAD HOSPICE OF SOUTHERN ALABAMA, LLC |
| NPI Number: | 1235530338 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEANNE M PETE (VP) |
| Mailing Address: | 116 Edwina St Evergreen |
| State: | AL US |
| Postal Code: | 364013319 |
| Phone Number: | 2515782939 |
| Fax Number: | 2515789398 |
| NPI Enumeration Date: | 09/08/2014 |
| NPI Last Update Date: | 10/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | E1803 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |