| Organization Name: | COMPASSIONATE CARE HOSPICE OF CENTRAL GEORGIA, LLC |
| NPI Number: | 1568781292 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUDITH GREY (CHIEF OPERATING OFFICER) |
| Mailing Address: | 305 Smithville Church Rd Ste 100 Warner Robins |
| State: | GA US |
| Postal Code: | 310883148 |
| Phone Number: | 6092671178 |
| Fax Number: | 6092673499 |
| NPI Enumeration Date: | 05/20/2010 |
| NPI Last Update Date: | 09/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |