- Enrollment id
- O20060728000399
- Enrollment state
- AL
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1821033200
- Multiple npi flag
- N
- Ccn
- 011656
- 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
- 966 CLAXTON AVE N
- City
- ELBA
- State
- AL
- Zip code
- 363231541