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General NPI Number Information
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NPI Number | 1679464010
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Entity Type | Organization
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Legal Business Name | CHRIST-LEE HOSPICE AND PALLIATIVE CARE
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 2055 GEES MILL RD NE STE 326
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City | CONYERS
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State | GA
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Zip | 30013-1364
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Country | US
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Telephone | 470-356-6285
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Fax |
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Provider Business Mailing Address
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Address Line | 2055 GEES MILL RD NE STE 326
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City | CONYERS
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State | GA
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Zip | 30013-1364
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CHRIST-LEE LIZAIRE GANTHIER
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Credential |
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Telephone | 404-931-1797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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