Organization
MABLEHOUSE HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA MIRANDA JONES-GATES RN, MSN/MGHA (CEO)
(770) 875-5519
Entity
Organization
Contact information
Practice address
6405 THE TRL, STONE MOUNTAIN, GA 30087-4959
(770) 875-5519
(770) 875-5519
Mailing address
6405 THE TRL, STONE MOUNTAIN, GA 30087-4959
(770) 875-5519
(770) 875-5519
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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