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General NPI Number Information
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NPI Number | 1427126374
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Entity Type | Organization
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Legal Business Name | HOMETOWN HOSPICE INC
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 08/19/2020
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Provider Practice Location Address
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Address Line | 23 SHELL RD
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City | SARALAND
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State | AL
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Zip | 36571-2202
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Country | US
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Telephone | 251-246-2727
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Fax | 251-408-9153
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Provider Business Mailing Address
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Address Line | PO BOX 403
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City | JACKSON
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State | AL
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Zip | 36545-0403
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Country | US
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Telephone | 251-246-2727
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Fax | 251-246-2276
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ANGIE THORNTON
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Credential |
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Telephone | 251-246-2727
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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 | 11628
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License Number State | AL
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