Organization
ACWORTH COMMUNITY HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI ALEXANDER MABRY DHSC (OWNER / CEO)
(678) 471-6983
Entity
Organization
Contact information
Practice address
4929 N MAIN ST STE 206, ACWORTH, GA 30101-5323
(678) 471-6983
(678) 403-2310
Mailing address
124 VALLEY FARM LN, ACWORTH, GA 30102-1777
(678) 471-6983
(678) 403-2310
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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