Organization Name: | HOMETOWN HOSPICE INC |
NPI Number: | 1427126374 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGIE THORNTON (OWNER) |
Mailing Address: | 1447 College Avenue Jackson |
State: | AL US |
Postal Code: | 36545 |
Phone Number: | 2512462727 |
Fax Number: | 2512462276 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 06/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 11628 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |