Organization
AVALON HOSPICE LLC
Active
Other names
Avalon Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KEITH HENSON (CEO)
(404) 444-4748
Entity
Organization
Contact information
Practice address
105 TIVOLI GARDENS RD, PEACHTREE CITY, GA 30269-1528
(404) 444-4748
Mailing address
105 TIVOLI GARDENS RD, PEACHTREE CITY, GA 30269-1528
(404) 444-4748
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
056-0395H
GA
Other
Enumeration date
10/24/2013
Last updated
04/01/2014
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