Organization
HOSPICE SERVICES OF GA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DAVID RUD (OWNER/ADMINISTRATOR)
(706) 834-8196
Entity
Organization
Contact information
Practice address
3744 WALTON WAY EXT STE C, AUGUSTA, GA 30907-0917
(706) 364-1933
(706) 364-1933
Mailing address
3744 WALTON WAY EXT STE C, AUGUSTA, GA 30907-0917
(706) 364-1933
(706) 364-1933
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
121-0453-H
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003218799A
—
GA
01
—
121-0453-H
STATE HOSPICE LICENSE
GA
Enumeration date
06/28/2018
Last updated
02/20/2024
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