Healthcare Provider Details

I. General information

NPI: 1851608863
Provider Name (Legal Business Name): HOSPICE ADVANTAGE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2010
Last Update Date: 03/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6585 E COLLEGE ST
WRIGHTSVILLE GA
31096-2121
US

IV. Provider business mailing address

401 CENTER AVE
BAY CITY MI
48708-5939
US

V. Phone/Fax

Practice location:
  • Phone: 478-864-8118
  • Fax: 478-864-8115
Mailing address:
  • Phone: 989-891-2206
  • Fax: 989-893-5268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RODNEY HILDEBRANT
Title or Position: PRESIDENT
Credential:
Phone: 989-891-2210