Organization Name: | HOMESTEAD HOSPICE OF CENTRAL GEORGIA, LLC |
NPI Number: | 1598191454 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEANNE M PETE (VP) |
Mailing Address: | 500 Osigian Blvd Suite 300 Warner Robins |
State: | GA US |
Postal Code: | 310888995 |
Phone Number: | 6789660077 |
Fax Number: | 6783873716 |
NPI Enumeration Date: | 09/23/2013 |
NPI Last Update Date: | 09/23/2013 |
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: |