Organization
SERENITY PALLIATIVE AND HOSPICE CARE OF HILLENDALE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IAN KIRT ASH (CEO)
(770) 790-4146
Entity
Organization
Contact information
Practice address
2346 WISTERIA DRIVE, SUITE 120, SNELLVILLE, GA 30078-6174
(678) 413-2222
(678) 413-2221
Mailing address
2346 WISTERIA DRIVE, SUITE 120, SNELLVILLE, GA 30078-6174
(678) 413-2222
(678) 413-2221
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
033-0248-H
GA
251G00000X
Community Based Hospice Care Agency
0330248H
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890472845A
—
GA
Enumeration date
07/03/2006
Last updated
09/26/2012
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