Organization
WELLSTAR COMMUNITY HOSPICE, LLC
Active
Parent organization
WELLSTAR HEALTH SYSTEM, INC.
Other names
WellStar Community Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLSTAR HEALTH SYSTEM, INC.
Authorized official
ANTHONY J BUDZINSKI (ACTING PRESIDENT & CEO)
(770) 792-7600
Entity
Organization
Contact information
Practice address
4040 HOSPITAL WEST DR, AUSTELL, GA 30106-8117
(770) 732-6710
(770) 732-6732
Mailing address
4040 HOSPITAL WEST DR, AUSTELL, GA 30106-8117
(770) 732-6710
(770) 732-6732
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
033077H
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000373799A
—
GA
Enumeration date
04/18/2006
Last updated
01/31/2011
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