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NPI 1306322854

NPI 1306322854 : SHOALS HOSPICE LLC : FLORENCE, AL

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General NPI Number Information
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    NPI Number           |    1306322854
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    Entity Type          |    Organization 
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    Legal Business Name  |    SHOALS HOSPICE LLC 
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Dates
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    Enumeration Date     |    07/18/2018
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    Last Update Date     |    01/13/2026
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Provider Practice Location Address
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    Address Line         |    1120 BRADSHAW DR 
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    City                 |    FLORENCE
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    State                |    AL
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    Zip                  |    35630-1438
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    Country              |    US
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    Telephone            |    256-767-1322
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    Fax                  |    256-718-0066
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Provider Business Mailing Address
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    Address Line         |    1120 BRADSHAW DR 
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    City                 |    FLORENCE
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    State                |    AL
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    Zip                  |    35630-1438
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    Country              |    US
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    Telephone            |    256-767-1322
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    Fax                  |    256-718-0066
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JAMES  WALKER 
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    Credential           |    
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    Telephone            |    256-393-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251G00000X
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    Taxonomy Name        |    Community Based Hospice Care Agency
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    License Number       |    
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    License Number State |    
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