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NPI Code Detail

MEDICARE: PROHEALTH HOSPICE-GEORGIA, LLC

MEDICARE: PROHEALTH HOSPICE-GEORGIA, 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 Agency

General Provider Information

NPI Number : 1750084695
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROHEALTH HOSPICE-GEORGIA, LLC
Provider Business Mailing Address
First Line : 1800 CORPORATE DR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35242-2725
Country : US
Telephone Number : 205-820-7000
Fax Number :
Provider Business Practice Location Address
First Line : 1800 CORPORATE DR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35242-2725
Country : US
Telephone Number : 205-820-7000
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. DAVID ALAN LESTER
Credential :
Telephone Number : 205-820-7000
Provider Enumeration Date : 03/22/2023
Last Update Date : 03/22/2023

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Directions to “PROHEALTH HOSPICE-GEORGIA, LLC ” Practice Location

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