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General NPI Number Information
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NPI Number | 1891494753
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Entity Type | Organization
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Legal Business Name | INTERIM HEALTHCARE HOSPICE, LLC
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Dates
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Enumeration Date | 03/01/2023
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 2675 PACES FERRY RD SE STE 400
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City | ATLANTA
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State | GA
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Zip | 30339-4099
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Country | US
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Telephone | 404-424-9740
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Fax |
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Provider Business Mailing Address
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Address Line | 100 VERDAE BLVD STE 200
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City | GREENVILLE
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State | SC
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Zip | 29607-3857
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Country | US
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Telephone | 864-627-1200
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Fax |
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Authorized Official
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Title or Position | GENERAL COUNSEL, CHIEF COMPLIANCE O
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Name | PATRICIA MARY MCGILLAN
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Credential | BSN, JD
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Telephone | 301-526-8446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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