Organization · Type 2 NPI
Optum Palliative and Hospice Care, Inc
Community Based Hospice Care Agency · Macon, GA
NPI number
1609900364
Active
Practice location
4875 Riverside Dr Ste 104
Macon, GA 31210-1149
Fax (478) 912-9270
Mailing address
PO Box 15645
Las Vegas, NV 89114-5645
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | None listed |
| Community Based Hospice Care Agency Primary | 251G00000X | 0011-0296-H (GA) |
Community Based Hospice Care Agency: Definition to come...
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About NPI 1609900364
Optum Palliative and Hospice Care, Inc's National Provider Identifier is 1609900364, issued on Mar 15, 2007. 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 Nov 4, 2015.