Organization Name: | CHRISTIAN MINISTRIES HOSPICE, INC |
NPI Number: | 1073694683 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHANIE ODOM FREEMAN (CEO) |
Mailing Address: | 125 Highway 138 Sw Riverdale |
State: | GA US |
Postal Code: | 302744007 |
Phone Number: | 6788333750 |
Fax Number: | 6788333755 |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 06/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 031-224H |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |