Organization · Type 2 NPI
Home Health Agency of Georgia, LLC
Community Based Hospice Care Agency · Marietta, GA
NPI number
1194035766
Active
Practice location
1705 Enterprise Way SE, Suite 102
Marietta, GA 30067-9224
Fax (770) 794-8302
Mailing address
135 Mayfair Rd
Hattiesburg, MS 39402-1464
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 033 034 10 H (GA) |
| Community Based Hospice Care Agency Primary | 251G00000X | 033-0340-H (GA) |
Community Based Hospice Care Agency: Definition to come...
Another provider at this address
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About NPI 1194035766
Home Health Agency of Georgia, LLC's National Provider Identifier is 1194035766, issued on Oct 18, 2010. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Marietta, GA. The record was last updated on Aug 7, 2013.