Organization
AEON HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAKASH GOPALAKRISHNAN (ORGANIZER)
(678) 462-1339
Entity
Organization
Contact information
Practice address
11205 ALPHARETTA HWY STE E3, ROSWELL, GA 30076-5646
(678) 462-1339
Mailing address
11205 ALPHARETTA HWY STE E3, ROSWELL, GA 30076-5646
(678) 462-1339
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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