Organization
LEGACY HOSPICE OF SOUTH GA, LLC
Active
Organization
LEGACY HOSPICE OF SOUTH GA, LLC
Active
Other names
Coastal Hospice of Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
DONNIE MABERRY (EXECUTIVE VICE PRESIDENT)
(972) 468-8070
Entity
Organization
Contact information
Practice address
205 S TALLAHASSEE ST STE A, HAZLEHURST, GA 31539-6025
(912) 527-8602
(912) 527-8671
Mailing address
101 W RENNER RD STE 420, RICHARDSON, TX 75082-2022
(877) 525-3338
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
05/12/2026
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