Organization · Type 2 NPI

South Georgia Health Alliance dba Hospice of South Georgia

Community Based Hospice Care Agency · Valdosta, GA

NPI number 1750331401 Active

Practice location

2263 Pineview Dr
Valdosta, GA 31602-7316

Fax (229) 433-7025

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	092031H (GA)

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

2 other providers at this address

Meredith Emily Decesare, NP-CNurse Practitioner Valdosta, GA NPI 1104382092
Rachael Lauren Lustfeldt, LCSWClinical Social Worker Valdosta, GA NPI 1619674272

Other community based hospice care agency providers in Valdosta

See all in Valdosta →

NPI record

NPI: 1750331401
Entity type: Organization (Type 2)
Issued: May 12, 2006
Last updated: Oct 7, 2019
Status: Active
Subpart: Yes of South Georgia Health Alliance dba Hospice of South Georgia

Other names

<unavail>
Hospice of South Georgia · doing business as
Hospice of South Georgia · doing business as

Authorized official

Mrs. Susan Bowden
Executive Director
(229) 433-7000

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About NPI 1750331401

South Georgia Health Alliance dba Hospice of South Georgia's National Provider Identifier is 1750331401, issued on May 12, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Valdosta, GA. The record was last updated on Oct 7, 2019.