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General NPI Number Information
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NPI Number | 1811635253
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Entity Type | Organization
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Legal Business Name | HOMESTEAD HOSPICE OF SOUTH GEORGIA, LLC
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Dates
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Enumeration Date | 05/25/2022
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 126 S ACCESS RD
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City | CHULA
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State | GA
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Zip | 31733-4204
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Country | US
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Telephone | 229-520-3052
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Fax | 229-520-3062
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Provider Business Mailing Address
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Address Line | PO BOX 733707
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City | DALLAS
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State | TX
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Zip | 75373-3707
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Country | US
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Telephone | 972-677-3499
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JAMES DOUTHITT
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Credential |
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Telephone | 940-600-5140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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