Organization
HOME HEALTH AGENCY OF GEORGIA, LLC
Active
Other names
Camellia Home Health and Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
WILFORD A. PAYNE III (PRESIDENT / CEO)
(601) 544-2903
Entity
Organization
Contact information
Practice address
1705 ENTERPRISE WAY SE, SUITE 102, MARIETTA, GA 30067-9224
(678) 218-5745
(770) 794-8302
Mailing address
135 MAYFAIR RD, HATTIESBURG, MS 39402-1464
(601) 544-2903
(601) 264-3512
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
033 034 10 H
GA
251G00000X
Community Based Hospice Care Agency
Primary
033-0340-H
GA
Other
Enumeration date
10/18/2010
Last updated
08/07/2013
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