Organization
HAVEN HOSPICE AND PALLIATIVE CARE OF GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERI TIDWELL (MANAGING PARTNER)
(770) 882-8174
Entity
Organization
Contact information
Practice address
2900 CHAMBLEE TUCKER RD, BLDG 14, SUITE 250, ATLANTA, GA 30341
(770) 882-8174
Mailing address
2900 CHAMBLEE TUCKER RD, BLDG 14, SUITE 250, ATLANTA, GA 30341
(770) 882-8174
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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