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NPI Code Detail

MEDICARE: MABLEHOUSE HOSPICE

MEDICARE: MABLEHOUSE HOSPICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1619351095
Entity Type Code : Organization
Provider Name (Legal Business Name) : MABLEHOUSE HOSPICE
Provider Business Mailing Address
First Line : 2140 MCGEE RD
Second Line : STE. C-260
City : SNELLVILLE
State : GA
Zip : 30078-2980
Country : US
Telephone Number : 678-638-1088
Fax Number :
Provider Business Practice Location Address
First Line : 2140 MCGEE RD
Second Line : STE. C-260
City : SNELLVILLE
State : GA
Zip : 30078-2980
Country : US
Telephone Number : 678-638-1088
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR/EXECUTIVE DIRECTOR
Name : MRS. ANITA MIRANDA JONES-GATES
Credential : RN, MSN/MHA
Telephone Number : 770-875-5519
Provider Enumeration Date : 07/15/2015
Last Update Date : 08/18/2015

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Directions to “MABLEHOUSE HOSPICE ” Practice Location

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