Organization
GRATEFUL HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN GAIL SMITH JACKSON REGISTERED NURSE (ADMINISTRATOR)
(678) 592-4183
Entity
Organization
Contact information
Practice address
4500 HUGH HOWELL RD STE 785, TUCKER, GA 30084-4723
(678) 592-4183
(470) 945-2121
Mailing address
6340 ROBINS NEST, STONE MOUNTAIN, GA 30087-4976
(678) 592-4183
(770) 881-7503
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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