| Organization Name: | GUARDIAN HOSPICE OF GEORGIA, LLC |
| NPI Number: | 1528294477 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEWELENE GRIFFIN (VICE PRESIDENT OF HOSPICE) |
| Mailing Address: | 4360 Chamblee Dunwoody Rd Suite 535 Atlanta |
| State: | GA US |
| Postal Code: | 303411049 |
| Phone Number: | 7704581624 |
| Fax Number: | 7704582390 |
| NPI Enumeration Date: | 06/05/2009 |
| NPI Last Update Date: | 10/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 033-190-H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |