Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI Number | 1194598185 |
| LBN Legal business name | HAVEN HOSPICE AND PALLIATIVE CARE OF GEORGIA, LLC |
| Authorized official | JERI TIDWELL - (MANAGING PARTNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/01/2023 |
| Last updated | 11/01/2023 - About 3 years ago |
| Identifiers | n/a |
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