Organization
GRACE HOSPICE, LLC
Active
Other names
Halcyon Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD D. STELLY (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
515 N SAINT AUGUSTINE RD STE D, VALDOSTA, GA 31601-8472
(229) 333-5005
(229) 333-5007
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
092236H
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
819131826A
—
GA
Enumeration date
11/16/2006
Last updated
06/14/2019
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