Organization
SACRED JOURNEY HOSPICE, LLC
Active
Other names
Sacred Journey Hospice, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY WHOBREY (PROVIDER ENROLLMENT)
(502) 630-7249
Entity
Organization
Contact information
Practice address
138 PEACH DR, MCDONOUGH, GA 30253
(678) 583-0717
(678) 583-0712
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(502) 394-2100
(502) 394-2159
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
075176H
GA
315D00000X
Inpatient Hospice
075176H
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054652053A
—
GA
Enumeration date
11/16/2006
Last updated
08/10/2022
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