NPI | 1639177397 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTA HOWARD Authorized Billing Official 478-374-4888 |
Organization Subpart ? | No |
Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: GA 111569) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2025-07-25 |