Organization Name: | HILLCREST HOSPICE, INC |
NPI Number: | 1588625925 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANITA HOSSFELD (PRESIDENT) |
Mailing Address: | 1374 Manchester Dr Ne Conyers |
State: | GA US |
Postal Code: | 300123881 |
Phone Number: | 6784134040 |
Fax Number: | 6784134073 |
NPI Enumeration Date: | 03/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HSPC001101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |