Organization · Type 2 NPI

Mildred's Homeplace III

Community Based Hospice Care Agency · Thomasville, GA

NPI number 1073847703 Active

Practice location

357 A & B Shoreline Drive
Thomasville, GA 31792-4608

Fax (229) 551-0694

Mailing address

612 East Clay Street
Thomasville, GA 31792-4608

Specialties and licenses

TaxonomyCodeLicense
Community Based Hospice Care Agency Primary 251G00000XNone listed
Non-emergency Medical Transport (VAN) 343900000XNone listed

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About NPI 1073847703

Mildred's Homeplace III's National Provider Identifier is 1073847703, issued on Sep 29, 2009. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Thomasville, GA. The record was last updated on Sep 29, 2009.