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Organization

IN HOME HEALTH LLC

Active
Other names
Heartland Hospice Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization

Contact information

Practice address
5400 RIVERSIDE DR STE 200, MACON, GA 31210-0816
(478) 477-0101
(478) 477-9951
Mailing address
333 N SUMMIT ST, ATTN: DEAN SHIPMAN, TOLEDO, OH 43604-2615
(419) 254-7841
(419) 252-6448

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
315D00000X
Inpatient Hospice

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000848317D
GA
Enumeration date
05/26/2006
Last updated
12/06/2019
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