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Organization

CRISP REGIONAL HOSPITAL, INC

Active
Other names
Crisp Regional Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SUSAN WADE WILDER (AUDITOR)
(229) 276-3100
Entity
Organization

Contact information

Practice address
910 N 5TH ST, CORDELE, GA 31015-3254
(229) 276-3100
(229) 276-3297
Mailing address
910 N 5TH ST, CORDELE, GA 31015-3254
(229) 271-9686
(229) 271-9689

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
040063H
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000784198A
GA
Enumeration date
02/23/2006
Last updated
06/12/2009
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