Organization Name: | HOSPICE ADVANTAGE, LLC. |
NPI Number: | 1851608863 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RODNEY HILDEBRANT (PRESIDENT) |
Mailing Address: | 6585 E College St Wrightsville |
State: | GA US |
Postal Code: | 310962121 |
Phone Number: | 4788648118 |
Fax Number: | 4788648115 |
NPI Enumeration Date: | 09/13/2010 |
NPI Last Update Date: | 03/02/2015 |
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: |