Organization
HEARTLITE HOSPICE ELLIJAY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CURTIS A DANEKAS CPA (CFO)
(630) 942-0100
Entity
Organization
Contact information
Practice address
163 DALTON STREET, EAST ELLIJAY, GA 30540
(706) 635-7001
(706) 635-7003
Mailing address
800 W. ROOSEVELT ROAD, SUITE C-206, GLEN ELLYN, IL 60137-5851
(630) 942-0100
(256) 532-2398
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
061-0343-H
GA
Other
Enumeration date
12/06/2010
Last updated
01/29/2013
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