| NPI | 1144600875 |
|---|---|
| Doing Business As | SOUTHEAST HOSPICE |
| Entity Type | Organization |
| Authorized Contact | STUART PRATHER Administrator 706-364-3108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: GA 121-0416-H) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2017-02-10 |