Organization
VISTACARE USA, INC.
Active
Other names
VistaCare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY DIRK ALLISON (SR VP & CFO)
(214) 922-9711
Entity
Organization
Contact information
Practice address
1000 TOWNE CENTER BLVD, SUITE 604, POOLER, GA 31322-4052
(912) 330-0460
(912) 330-0409
Mailing address
717 N HARWOOD ST, SUITE 1500, DALLAS, TX 75201-6519
(214) 922-9711
(214) 922-9752
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
025-114-H
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00821312A
—
GA
Enumeration date
05/24/2006
Last updated
03/10/2008
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