Organization
MAGNOLIA HOSPICE, LLC
Active
Other names
OpusCare of Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
ISMAEL ROQUE-VELASCO (PRESIDENT/CEO)
(305) 591-1606
Entity
Organization
Contact information
Practice address
1374 MANCHESTER DR NE, CONYERS, GA 30012-3881
(770) 483-9111
(877) 663-8423
Mailing address
6900 SW 80TH ST, MIAMI, FL 33143-4931
(305) 591-1606
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
02/14/2014
Last updated
05/17/2023
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