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NPI Code Detail

MEDICARE: HOSPICE CARE OF EAST ATLANTA LLC

MEDICARE: HOSPICE CARE OF EAST ATLANTA LLC
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 : 1972269538
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOSPICE CARE OF EAST ATLANTA LLC
Provider Business Mailing Address
First Line : 1350 SCENIC HWY N STE 266
Second Line :
City : SNELLVILLE
State : GA
Zip : 30078-7924
Country : US
Telephone Number : 678-812-3337
Fax Number : 470-260-3008
Provider Business Practice Location Address
First Line : 1350 SCENIC HWY NORTH
Second Line : 266
City : SNELLVILLE
State : GA
Zip : 30078-7924
Country : US
Telephone Number : 678-790-4368
Fax Number : 470-260-3008
Authorized Official
Title or Position : OWNER
Name : DELORIA ROCHELLE GILCHRIST
Credential :
Telephone Number : 678-790-4368
Provider Enumeration Date : 11/09/2021
Last Update Date : 03/27/2024

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Directions to “HOSPICE CARE OF EAST ATLANTA LLC ” Practice Location

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