| Organization Name: | HOSPICE ADVANTAGE, LLC |
| NPI Number: | 1497709802 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAYANNE MYNSBERGE (COO) |
| Mailing Address: | 300 Chastain Center Blvd Suite 345 Kennesaw |
| State: | GA US |
| Postal Code: | 301445557 |
| Phone Number: | 7702181997 |
| Fax Number: | 7702181975 |
| NPI Enumeration Date: | 05/20/2006 |
| NPI Last Update Date: | 01/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 033-234-H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |