Organization Name: | LOVING ARMS HOSPICE |
NPI Number: | 1043671738 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACY PURIFOY (CEO) |
Mailing Address: | 3938 Wolverton Cir Lithonia |
State: | GA US |
Postal Code: | 300383732 |
Phone Number: | 7707657030 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2016 |
NPI Last Update Date: | 03/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |