Organization
AHAVA HOSPICE OF FLORENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN GRAY (CHIEF COMPLIANCE OFFICER)
(803) 794-3269
Entity
Organization
Contact information
Practice address
2405 2ND LOOP RD, SUITE C, FLORENCE, SC 29501-1602
(843) 468-9700
(803) 791-1634
Mailing address
PO BOX 1014, IRMO, SC 29063-1014
(843) 468-9700
(803) 791-1634
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
HPC 0168
SC
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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