Organization Name: | HEART 2 HEART HOSPICE |
NPI Number: | 1144404765 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBRA JOHNSON (CEO) |
Mailing Address: | 2981 Church St Ste 214 East Point |
State: | GA US |
Postal Code: | 303444156 |
Phone Number: | 4047631456 |
Fax Number: | 4047634115 |
NPI Enumeration Date: | 12/18/2007 |
NPI Last Update Date: | 12/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 060-0250-H |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |