Organization Name: | ALTUS HOSPICE OF GEORGIA LLC |
NPI Number: | 1972880896 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD D. STELLY (PRESIDENT) |
Mailing Address: | 5411 Northland Dr 2nd Floor Atlanta |
State: | GA US |
Postal Code: | 303422061 |
Phone Number: | 7707308405 |
Fax Number: | 7707308408 |
NPI Enumeration Date: | 11/06/2011 |
NPI Last Update Date: | 06/01/2016 |
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: |