Organization · Type 2 NPI

Jackson Lake Hospice Inc

Community Based Hospice Care Agency · Macon, GA

NPI number 1255417432 Active

Practice location

128 Brandon Way
Macon, GA 31210

Call (770) 305-9393 Map

Fax (770) 305-9662

Mailing address

PO Box 1927
Jackson, GA 30233-0037

Specialties and licenses

TaxonomyCodeLicense
Community Based Hospice Care Agency Primary 251G00000XNone listed

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About NPI 1255417432

Jackson Lake Hospice Inc's National Provider Identifier is 1255417432, issued on Oct 31, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Macon, GA. The record was last updated on Aug 22, 2020.