Healthcare Provider Details

I. General information

NPI: 1871008540
Provider Name (Legal Business Name): HOSPICE OF ALAMANCE-CASWELL FOUNDATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2017
Last Update Date: 12/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 CHAPEL HILL RD
BURLINGTON NC
27215-6715
US

IV. Provider business mailing address

914 CHAPEL HILL RD
BURLINGTON NC
27215-6715
US

V. Phone/Fax

Practice location:
  • Phone: 336-532-0100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: CAROLINE DURHAM
Title or Position: CFO
Credential: CPA
Phone: 336-532-0125