Healthcare Provider Details

I. General information

NPI: 1285727362
Provider Name (Legal Business Name): FIRST QUALITY HEALTHCARE HOSPICE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 03/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3915 CASCADE RD SW SUITE 105
ATLANTA GA
30331-8512
US

IV. Provider business mailing address

3915 CASCADE RD SW SUITE 105
ATLANTA GA
30331-8512
US

V. Phone/Fax

Practice location:
  • Phone: 404-696-4126
  • Fax: 404-696-1429
Mailing address:
  • Phone: 404-696-4126
  • Fax: 404-696-1429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateGA

VIII. Authorized Official

Name: ERROL TOMLINSON
Title or Position: CEO
Credential:
Phone: 404-696-4126