| Organization Name: | HOSPICE PEACHTREE, LLC |
| NPI Number: | 1265694798 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JIM PETRUS (CHIEF OPERATING OFFICER) |
| Mailing Address: | 129 W Houston Linden |
| State: | TX US |
| Postal Code: | 755631538 |
| Phone Number: | 9037563860 |
| Fax Number: | 9037563866 |
| NPI Enumeration Date: | 06/26/2008 |
| NPI Last Update Date: | 10/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 010123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |