Organization
SOUTHERN COMMUNITY HOSPICE, INC.
Active
Other names
Community Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA HOWARD (AUTHORIZED BILLING OFFICIAL)
(478) 374-4888
Entity
Organization
Contact information
Practice address
904 MOUNT VERNON RD, VIDALIA, GA 30474-3030
(912) 537-0063
(912) 537-2005
Mailing address
715 LEGION DR, EASTMAN, GA 31023-6780
(478) 374-4888
(478) 374-0504
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
138135H
GA
315D00000X
Inpatient Hospice
138135H
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000851133A
—
GA
Enumeration date
11/01/2006
Last updated
07/25/2025
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