Organization
THE HOSPICE OF THE SOUTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY LEE SHROUT (PRESIDENT)
(334) 798-2987
Entity
Organization
Contact information
Practice address
206 REES ST, AMERICUS, GA 31709-3753
(229) 928-4142
(229) 928-4108
Mailing address
PO BOX 805, AMERICUS, GA 31709-0805
(229) 928-4142
(229) 928-4108
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
1290306H
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1290306H
—
GA
Enumeration date
07/22/2008
Last updated
09/23/2008
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