Organization Name: | BETHANY HOSPICE OF COASTAL GEORGIA, LLC |
NPI Number: | 1548501000 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AVA GRAHAM BEST (PRESIDENT/CEO) |
Mailing Address: | 8395 Us Highway 301 Claxton |
State: | GA US |
Postal Code: | 304175992 |
Phone Number: | 9127390058 |
Fax Number: | 9127390350 |
NPI Enumeration Date: | 03/08/2013 |
NPI Last Update Date: | 07/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 26-0288000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |