| Organization Name: | HOSPICE OF WEST ALABAMA, INC. |
| NPI Number: | 1861497935 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LATRELLE PORTER BELL (EXECUTIVE DIRECTOR) |
| Mailing Address: | 3851 Loop Rd Tuscaloosa |
| State: | AL US |
| Postal Code: | 354045040 |
| Phone Number: | 2055230101 |
| Fax Number: | 2055230102 |
| NPI Enumeration Date: | 06/16/2005 |
| NPI Last Update Date: | 07/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 10278 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |