- Enrollment id
- O20090515000404
- Enrollment state
- AL
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1033350830
- Multiple npi flag
- N
- Ccn
- 011680
- Associate id
- 8325051881
- Organization name
- FIRST CHOICE HOSPICE, LLC
- Doing business as name
- ACG HOSPICE
- Incorporation date
- 2006-04-04
- Incorporation state
- AL
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2323 W MAIN ST
- Address line 2
- STE 106
- City
- DOTHAN
- State
- AL
- Zip code
- 363011287