| NPI | 1104221209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON J MUSSELMAN Owner/President 912-417-4571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 315D00000X Hospice, Inpatient |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2022-09-20 |