institution
Providence Hospice, Inc.
Community Based Hospice Care Agency in Stockbridge, Georgia
NPI 1720150212

Providence Hospice, Inc. is a Community Based Hospice Care Agency based in Stockbridge, GA. Providence Hospice, Inc. practices in Stockbridge, GA. The NPI Number for Providence Hospice, Inc. is 1720150212 and holds a License No. 075-0253-H (Georgia).

The current practice location address for Providence Hospice, Inc. is 100 Corporate Center Drive, Stockbridge, GA and can be reached out via phone at 678-284-9385 and via fax at 678-284-9391. You can also correspond with Providence Hospice, Inc. through the mailing address at 100 CORPORATE CENTER DRIVE, STOCKBRIDGE, GA - 30281-7244 (mailing address contact number: 678-284-9385).

Location: 100 Corporate Center Drive, Stockbridge, GA, 30281-7244
institution
Provider Profile Details
NPI Number
1720150212
Provider Name
Providence Hospice, Inc.
Credential
Provider Entity Type
Organization
Address
100 Corporate Center Drive, Stockbridge, GA, 30281-7244
Phone Number
678-284-9385
Fax Number
678-284-9391
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
015893264A 05 GA
institution
Provider Business Practice Location Address Details
Address
100 Corporate Center Drive
City
State
Zip
30281-7244
Phone Number
678-284-9385
Fax Number
678-284-9391
person
Provider Business Mailing Address Details
Address
100 Corporate Center Drive
City
State
Zip
30281-7244
Phone Number
678-284-9385
Fax Number
678-284-9391
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
License No.
075-0253-H (Georgia)
Definition
Definition to come...
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