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Countryside Hospice Care Inc
Community Based Hospice Care Agency in La Fayette, Georgia
NPI 1265470249

Countryside Hospice Care Inc is a Community Based Hospice Care Agency based in Albuquerque, GA. Countryside Hospice Care Inc practices in La Fayette, GA. The NPI Number for Countryside Hospice Care Inc is 1265470249 and holds a License No. 146142H (Georgia).

The current practice location address for Countryside Hospice Care Inc is 106 Pearl Dr, La Fayette, GA and can be reached out via phone at 706-638-7651 and via fax at 706-638-7545.

Location: 106 Pearl Dr, La Fayette, GA, 87109-4373
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265470249
Provider Name
Countryside Hospice Care Inc
Credential
Provider Entity Type
Organization
Address
106 Pearl Dr, La Fayette, GA, 87109-4373
Phone Number
706-638-7651
Fax Number
706-638-7545
Provider Enumeration Date
06/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00850044A 05 GA
146142H 01 GA GEORGIA HOSPICE LICENSE
institution
Provider Business Practice Location Address Details
Address
106 Pearl Dr
City
La Fayette
State
Georgia
Zip
30728-7509
Phone Number
706-638-7651
Fax Number
706-638-7545
person
Provider Business Mailing Address Details
Address
106 Pearl Dr
City
La Fayette
State
Georgia
Zip
30728-7509
Phone Number
706-638-7651
Fax Number
706-638-7545
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
251G00000X
License No.
146142H (Georgia)
Definition
Definition to come...
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