| Organization Name: | HOSPICE ADVANTAGE, LLC. |
| NPI Number: | 1518203819 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAYANNE MYNSBERGE (COO) |
| Mailing Address: | 5651 Whitesville Rd Ste 110 Columbus |
| State: | GA US |
| Postal Code: | 319049083 |
| Phone Number: | 7066495899 |
| Fax Number: | 9898935268 |
| NPI Enumeration Date: | 12/14/2012 |
| NPI Last Update Date: | 12/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 044-0367-H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |