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NPI Code Detail

MEDICARE: GEORGIA HOSPICE LLC

MEDICARE: GEORGIA HOSPICE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency028-0362GA

General Provider Information

NPI Number : 1568767911
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEORGIA HOSPICE LLC
Provider Business Mailing Address
First Line : 12900 FOSTER ST STE 400
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66213-2696
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2001 PROFESSIONAL WAY STE 240
Second Line :
City : WOODSTOCK
State : GA
Zip : 30188-6444
Country : US
Telephone Number : 770-592-3688
Fax Number :
Authorized Official
Title or Position : ASSISTANT SECRETARY
Name : RUTH C. SCHWARTZ
Credential :
Telephone Number : 913-814-2288
Provider Enumeration Date : 01/17/2011
Last Update Date : 01/21/2014

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Directions to “GEORGIA HOSPICE LLC ” Practice Location

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