| Organization Name: | HOSPICE ADVANTAGE, LLC. |
| NPI Number: | 1598924615 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAYE MYNSBERGE (COO) |
| Mailing Address: | 583 Highland Xing Suite 120 East Ellijay |
| State: | GA US |
| Postal Code: | 305406401 |
| Phone Number: | 7066351060 |
| Fax Number: | 7066351064 |
| NPI Enumeration Date: | 06/04/2008 |
| NPI Last Update Date: | 01/11/2013 |
| 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: | |