Organization
HARBOR GRACE HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODI WRENN RN, CHPN (ADMINISTRATOR)
(678) 962-5850
Entity
Organization
Contact information
Practice address
500 W LANIER AVE, SUITE 401, FAYETTEVILLE, GA 30214-7636
(678) 962-5850
(678) 962-5855
Mailing address
500 W LANIER AVE, SUITE 401, FAYETTEVILLE, GA 30214-7636
(678) 962-5850
(678) 962-5855
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
056-242-H
GA
Other
Enumeration date
03/16/2007
Last updated
08/13/2009
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