| Organization Name: | COMPASSION COMMUNITY PCH LLC |
| NPI Number: | 1508227141 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DELOOIS HILL (OWNER/OPERATOR) |
| Mailing Address: | 1942 Appling Harlem Rd Appling |
| State: | GA US |
| Postal Code: | 308023723 |
| Phone Number: | 7623547007 |
| Fax Number: | 7623547007 |
| NPI Enumeration Date: | 03/09/2016 |
| NPI Last Update Date: | 03/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |