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Hospice of Limestone County, Incorporated

Details

Name: Hospice of Limestone County, Incorporated
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 02 Mar 1988 (37 years ago)
Entity Number: 000-066-254
Register Number: 000066254
Place of Formation: Limestone County
Principal Address: ATHENS, AL
Registered Office Street Address: 116 W MARKET STREETATHENS, AL

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487657375 2005-05-24 2010-02-04 PO BOX 626, ATHENS, AL, 35612, US 405 S MARION ST, ATHENS, AL, 35611, US

Contacts

Phone +1 256-232-5017
Fax 2562300085

Authorized person

Name MRS. PATRICIA P KING
Role EXECUTIVE DIRECTOR
Phone 2562325017

Taxonomy

Taxonomy Code 251G00000X - Community Based Hospice Care Agency
License Number 10240
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number PIC1516E
State AL

Agent

Name Role
ASKEW, STEPHEN Agent

Incorporator

Name Role
ASKEW, STEPHEN Incorporator
CRAIG, GEORGE Incorporator
HANEY, LINDA Incorporator

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State