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Legacy Hospice Ga, Llc
Community Based Hospice Care Agency in Brunswick, Georgia
NPI 1477153492

Legacy Hospice Ga, Llc is a Community Based Hospice Care Agency based in Richardson, GA. Legacy Hospice Ga, Llc practices in Brunswick, GA. The NPI Number for Legacy Hospice Ga, Llc is 1477153492 and holds a License No. (Georgia).

The current practice location address for Legacy Hospice Ga, Llc is 106 Shoppers Way Ste 111, Brunswick, GA and can be reached out via phone at 912-434-9810 and via fax at 912-434-9752.

Location: 106 Shoppers Way Ste 111, Brunswick, GA, 75082-2022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477153492
Provider Name
Legacy Hospice Ga, Llc
Credential
Provider Entity Type
Organization
Address
106 Shoppers Way Ste 111, Brunswick, GA, 75082-2022
Phone Number
912-434-9810
Fax Number
912-434-9752
Provider Enumeration Date
10/28/2020
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003250312A 05 GA
11D2210199 01 GA CLIA
HSPC001445 01 GA STATE OPERATOR'S LICENSE #
institution
Provider Business Practice Location Address Details
Address
106 Shoppers Way Ste 111
City
Brunswick
State
Georgia
Zip
31525-0522
Phone Number
912-434-9810
Fax Number
912-434-9752
person
Provider Business Mailing Address Details
Address
106 Shoppers Way Ste 111
City
Brunswick
State
Georgia
Zip
31525-0522
Phone Number
912-434-9810
Fax Number
912-434-9752
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
251G00000X
License No.
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Definition
Definition to come...
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