Organization
GEORGIA HOME HEALTH CARE HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM KINCHEN ABBOTT (ADMINISTRATOR)
(912) 565-8820
Entity
Organization
Contact information
Practice address
4 S COLLEGE ST, CLAXTON, GA 30417-1812
(912) 739-4206
Mailing address
4978 US HIGHWAY 1 S, LYONS, GA 30436-5941
(912) 565-8820
(912) 565-0293
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
138222H
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016561656A
—
GA
01
—
111617
MEDICARE HOME HEALTH
—
Enumeration date
11/10/2006
Last updated
01/30/2009
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