Organization
CITIZEN HEALTHCARE, LLC
Active
Organization
CITIZEN HEALTHCARE, LLC
Active
Other names
Citizen Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
PRAKASH GOPALAKRISHNAN (ADMINISTRATOR)
(479) 366-6539
Entity
Organization
Contact information
Practice address
1861 PEELER RD, STE 200, DUNWOODY, GA 30338-5714
(479) 366-6539
Mailing address
1861 PEELER RD, STE 200, DUNWOODY, GA 30338-5714
(479) 366-6539
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
044-0367-H
GA
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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