ANGEL HEART HOSPICE AND PALLIATIVE CARE MOBILE LAB; NPI #1780211284

Contact Information

ANGEL HEART HOSPICE AND PALLIATIVE CARE MOBILE LAB

2302 PARKLAKE DR NE # 568
ATLANTA, GA 30345-2896

Phone: 470-381-2983
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for ANGEL HEART HOSPICE AND PALLIATIVE CARE MOBILE LAB

NPI # 1780211284

LBN Legal business name ANGEL HEART HOSPICE AND PALLIATIVE CARE MOBILE LAB

Authorized official DWELVER WEBB - (CEO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 03/25/2020

Last updated 03/02/2022 - About 4 years ago

Identifiers

Medicaid

1780211284

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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