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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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