Organization
TWELVE OAKS HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NAHID CRUM (OWNER)
(770) 922-2386
Entity
Organization
Contact information
Practice address
580 W CROSSVILLE RD, SUITE 204, ROSWELL, GA 30075-7505
(770) 922-2386
Mailing address
580 W CROSSVILLE RD, SUITE 204, ROSWELL, GA 30075-7505
(770) 922-2386
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003111518A
—
GA
Enumeration date
07/16/2008
Last updated
03/18/2015
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