Organization Name: | GEORGIA HOME HEALTH CARE HOSPICE |
NPI Number: | 1295806453 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM KINCHEN ABBOTT (ADMINISTRATOR) |
Mailing Address: | 4 S College St Claxton |
State: | GA US |
Postal Code: | 304171812 |
Phone Number: | 9127394206 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2006 |
NPI Last Update Date: | 01/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 138222H |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |