NPI | 1639177397 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMY T. PETERSON CFO 478-374-6662 |
Organization Subpart ? | No |
Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: GA 111569) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2024-05-06 |