Organization Name: | CREATIVE HOSPICE CARE, INC |
NPI Number: | 1366728735 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEANNE PETE (VP PROGRAM DEVELOPMENT) |
Mailing Address: | 49 Spring St Newnan |
State: | GA US |
Postal Code: | 302632768 |
Phone Number: | 6784233330 |
Fax Number: | 6784233337 |
NPI Enumeration Date: | 10/28/2011 |
NPI Last Update Date: | 10/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 038-0366-H |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |