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Organization

LIVING CARE HOSPICE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KERRIN CONKLIN (OWNER /CEO)
(912) 739-4990
Entity
Organization

Contact information

Practice address
215 S DUVAL ST, CLAXTON, GA 30417-2031
(912) 739-4990
(912) 739-4933
Mailing address
215 S DUVAL ST, CLAXTON, GA 30417-2031
(912) 739-4990
(912) 739-4933

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
132-168-H
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000927396A
GA
Enumeration date
12/29/2006
Last updated
12/06/2011
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