| Organization Name: | FLINT RIVER HOSPICE, INC |
| NPI Number: | 1053422535 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEVIN MILLER (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 402 N West St Bainbridge |
| State: | GA US |
| Postal Code: | 398173678 |
| Phone Number: | 2292481050 |
| Fax Number: | 2292481070 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 10/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 096-235-H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |