Healthcare Provider Details

I. General information

NPI: 1194727362
Provider Name (Legal Business Name): HOSPICE OF MARSHALL COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 MARTLING ROAD
ALBERTVILLE AL
35951-0000
US

IV. Provider business mailing address

408 MARTLING RD
ALBERTVILLE AL
35951-0000
US

V. Phone/Fax

Practice location:
  • Phone: 256-891-7724
  • Fax: 256-891-7754
Mailing address:
  • Phone: 256-891-7724
  • Fax: 256-891-7754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number10248
License Number StateAL

VIII. Authorized Official

Name: MRS. RHONDA SLATON OSBORNE
Title or Position: CEO
Credential: RN
Phone: 256-891-7724