| Organization Name: | BRIGHTMOOR HOSPICE, INC. |
| NPI Number: | 1275520751 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PENNY W WISE (CFO) |
| Mailing Address: | 3223 Newnan Rd Griffin |
| State: | GA US |
| Postal Code: | 302237114 |
| Phone Number: | 7704679930 |
| Fax Number: | 7704679932 |
| NPI Enumeration Date: | 09/30/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 111618 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |