| Organization Name: | BETHANY HOSPICE, LLC |
| NPI Number: | 1972709160 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AVA GRAHAM BEST (PRESIDENT/CEO) |
| Mailing Address: | 2700 North Oak Street Building B Valdosta |
| State: | GA US |
| Postal Code: | 316021900 |
| Phone Number: | 2292498687 |
| Fax Number: | 2292499282 |
| NPI Enumeration Date: | 06/25/2007 |
| NPI Last Update Date: | 12/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |