Organization Name: | CREATIVE HOSPICE CARE, INC |
NPI Number: | 1003192477 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEANNE PETE (VP PROGRAM DEVELOPMENT) |
Mailing Address: | 791a Highway 36 E Jackson |
State: | GA US |
Postal Code: | 302331792 |
Phone Number: | 7707750100 |
Fax Number: | 7707750200 |
NPI Enumeration Date: | 10/28/2011 |
NPI Last Update Date: | 10/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 018-0363-H |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |