Organization Name: | BRIDGE OF HOPE HOSPICE AND PALLIATIVE CARE INC |
NPI Number: | 1568880839 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WENDELL STEPHEN BRANDON (OWNER) |
Mailing Address: | 4046 Highway 154 220 Newnan |
State: | GA US |
Postal Code: | 302652330 |
Phone Number: | 4043690779 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2014 |
NPI Last Update Date: | 07/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |