Organization
HOSPICE SATILLA OF MEMORIAL HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA THRIFT GOLDEN (EXECUTIVE DIRECTOR)
(912) 285-2340
Entity
Organization
Contact information
Practice address
808 EVERGREEN WAY, WAYCROSS, GA 31501-7102
(912) 285-2340
(912) 283-0200
Mailing address
808 EVERGREEN WAY, WAYCROSS, GA 31501-7102
(912) 285-2340
(912) 283-0200
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000371775A
—
GA
01
—
765
BCBS
GA
Enumeration date
03/22/2006
Last updated
06/24/2021
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