Organization
FLINT RIVER HOSPICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MILLER (CHIEF FINANCIAL OFFICER)
(229) 248-1050
Entity
Organization
Contact information
Practice address
402 N WEST ST, BAINBRIDGE, GA 39817-3678
(229) 248-1050
(229) 248-1070
Mailing address
402 N WEST ST, BAINBRIDGE, GA 39817-3678
(229) 248-1050
(229) 248-1070
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
096-235-H
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
821692805A
—
GA
Enumeration date
08/31/2006
Last updated
10/08/2008
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