Organization
LEGACY HOME HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA FREEMAN (VICE PRESIDENT)
(678) 335-1376
Entity
Organization
Contact information
Practice address
275 CORPORATE CENTER DR STE C, STOCKBRIDGE, GA 30281-7377
(678) 735-6001
Mailing address
5284 FLOYD RD SW UNIT 1538, MABLETON, GA 30126-6114
(678) 735-6001
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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