Organization
COMFORT CARE HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGIE DELORIS POTTS RN BSN (OWNER/ADMINISTRATOR)
(912) 367-4146
Entity
Organization
Contact information
Practice address
88 HERITAGE ST, BAXLEY, GA 31513-0012
(912) 367-4146
(912) 367-4147
Mailing address
88 HERITAGE ST, BAXLEY, GA 31513-0012
(912) 367-4146
(912) 367-4147
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
001-346-H
GA
Other
Enumeration date
09/01/2011
Last updated
03/16/2012
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