institution
Jackson Lake Hospice Inc
Community Based Hospice Care Agency in Macon, Georgia
NPI 1255417432

Jackson Lake Hospice Inc is a Community Based Hospice Care Agency based in Jackson, GA. Jackson Lake Hospice Inc practices in Macon, GA. The NPI Number for Jackson Lake Hospice Inc is 1255417432 and holds a License No. (Georgia).

The current practice location address for Jackson Lake Hospice Inc is 128 Brandon Way, Macon, GA and can be reached out via phone at 770-305-9393 and via fax at 770-305-9662. You can also correspond with Jackson Lake Hospice Inc through the mailing address at PO BOX 1927, JACKSON, GA - 30233-0037 (mailing address contact number: 770-305-9393).

Location: 128 Brandon Way, Macon, GA, 30233-0037
institution
Provider Profile Details
NPI Number
1255417432
Provider Name
Jackson Lake Hospice Inc
Credential
Provider Entity Type
Organization
Address
128 Brandon Way, Macon, GA, 30233-0037
Phone Number
770-305-9393
Fax Number
770-305-9662
Provider Enumeration Date
10/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
128 Brandon Way
City
State
Zip
31210
Phone Number
770-305-9393
Fax Number
770-305-9662
person
Provider Business Mailing Address Details
Address
128 Brandon Way
City
State
Zip
31210
Phone Number
770-305-9393
Fax Number
770-305-9662
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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