Organization
OAKBROOK HOSPICE OF GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN SIDER (CEO)
(914) 390-4380
Entity
Organization
Contact information
Practice address
660 W BANKHEAD HWY STE E, VILLA RICA, GA 30180-1606
(678) 840-4333
(678) 840-5090
Mailing address
660 W BANKHEAD HWY STE E, VILLA RICA, GA 30180-1606
(678) 840-4333
(678) 840-5090
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
10/16/2009
Last updated
03/24/2010
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