Organization
IN HOME HEALTH, LLC
Active
Other names
ProMedica Hospice (Augusta)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
4487 COLUMBIA RD STE 103, MARTINEZ, GA 30907-4255
(706) 860-7374
(706) 860-9410
Mailing address
333 N. SUMMIT ST., ATTN: LEGAL DEPARTMENT, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
315D00000X
Inpatient Hospice
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000848317F
—
GA
05
—
HSP080
—
SC
Enumeration date
05/24/2006
Last updated
08/17/2023
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