- Enrollment id
- O20040818000246
- Enrollment state
- AL
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1104881366
- Multiple npi flag
- N
- Ccn
- 011576
- Associate id
- 9133038243
- Organization name
- COMFORT CARE HOSPICE LLC
- Doing business as name
- AVEANNA HOSPICE OF DEMOPOLIS
- Incorporation date
- 1999-09-28
- Incorporation state
- AL
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 547 US HIGHWAY 80 W
- Address line 2
- STE 2
- City
- DEMOPOLIS
- State
- AL
- Zip code
- 367324126