National Provider Identifier Database

BLUE SUMMIT HOSPICE OF NORTH GEORGIA LLC
Hospice Care, Community Based


Contact Information

BLUE SUMMIT HOSPICE OF NORTH GEORGIA LLC
1124 N TENNESSEE STREET
SUITE 103, OFFICE 13
CARTERSVILLE, GA30120
Phone: 470-365-2657
Fax: 470-359-5886
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for BLUE SUMMIT HOSPICE OF NORTH GEORGIA LLC

NPI Number 1568169183
Legal business name
LBN
BLUE SUMMIT HOSPICE OF NORTH GEORGIA LLC
Authorized official AMANDA DELPOZO MCKISSICK - (CEO)
Entity Organization
Organization subpart No
Enumeration date 02/14/2023
Last updated 02/14/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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