Organization Name: | HEAVENLY HANDS HOSPICE, LLC |
NPI Number: | 1861847881 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TELISA MARIE HORNE (ADMINISTRATOR) |
Mailing Address: | 2759 Delk Rd Se Ste 2080 Marietta |
State: | GA US |
Postal Code: | 300678859 |
Phone Number: | 7704859186 |
Fax Number: | 7706727352 |
NPI Enumeration Date: | 04/27/2016 |
NPI Last Update Date: | 04/27/2016 |
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: |