OrganizationActive
Countryside Hospice Care Inc
NPI 1790723211 · Community Based Hospice Care Agency · Jacksonville, AL
Provider details
- NPI number
- 1790723211
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Parent organization
- Solamor Hospice
- Authorized official
- Glen Cavallo, Sr. Vp of Operations
Practice location
320 Branscomb Dr Sw
Suite D
Jacksonville, AL 36265
Phone: (256) 235-2999
Fax: (256) 782-3590
Mailing address
101 Sun Ave Ne
Albuquerque, NM 87109-4373
Registry dates
- Enumerated
- 2006-06-04
- Last updated
- 2011-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.