| Organization Name: | HEART OF GEORGIA HOSPICE , INC |
| NPI Number: | 1023174919 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIM POOLE (EXECUTIVE DIRECTOR) |
| Mailing Address: | 103 Westridge Dr Warner Robins |
| State: | GA US |
| Postal Code: | 310888111 |
| Phone Number: | 4789535161 |
| Fax Number: | 4789535232 |
| NPI Enumeration Date: | 12/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |