Organization
REGENCY HOSPICE OF GEORGIA, LLC
Active
Other names
Regency Hospice of Northeast Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA KLEBERG (VP OF LEGAL AFFAIRS)
(704) 664-2876
Entity
Organization
Contact information
Practice address
4255 WADE GREEN RD NW, STE 210, KENNESAW, GA 30144-1762
(770) 382-7175
(770) 382-4927
Mailing address
655 BRAWLEY SCHOOL RD, SUITE 200, MOORESVILLE, NC 28117-9125
(704) 664-2876
(704) 664-1306
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
008-191-H
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000457509A
—
GA
Enumeration date
05/04/2006
Last updated
05/16/2016
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