Healthcare Provider Details

I. General information

NPI: 1821017781
Provider Name (Legal Business Name): FAMILY COMFORT HOSPICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 07/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 WALKER CHAPEL PLAZA SUITE 105
FULTONDALE AL
35068
US

IV. Provider business mailing address

341 WALKER CHAPEL PLAZA SUITE 105
FULTONDALE AL
35068
US

V. Phone/Fax

Practice location:
  • Phone: 205-502-5959
  • Fax: 205-502-5966
Mailing address:
  • Phone: 205-502-5959
  • Fax: 205-502-5966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number011684
License Number StateAL

VIII. Authorized Official

Name: MR. HUGH LYNN MCMURRY
Title or Position: PRESIDENT
Credential: CPA
Phone: 205-502-5959