Organization · Type 2 NPI

Providence Hospice, Inc.

Community Based Hospice Care Agency · Stockbridge, GA

NPI number 1720150212 Active

Practice location

100 Corporate Center Drive, Lower Level
Stockbridge, GA 30281-7244

Call (678) 284-9385 Map

Fax (678) 284-9391

Specialties and licenses

TaxonomyCodeLicense
Community Based Hospice Care Agency Primary 251G00000X075-0253-H (GA)

Community Based Hospice Care Agency: Definition to come...

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About NPI 1720150212

Providence Hospice, Inc.'s National Provider Identifier is 1720150212, issued on Nov 14, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Stockbridge, GA. The record was last updated on Dec 3, 2010.