Organization
COUNTRY ROADS HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE VAWN BAILEY-SNYDER RN (PRESIDENT)
(770) 866-8913
Entity
Organization
Contact information
Practice address
53 WEY BRIDGE CT, WHITE, GA 30184-4801
(770) 866-8913
Mailing address
53 WEY BRIDGE CT, WHITE, GA 30184-4801
(770) 866-8913
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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