Organization
AFFINIS HOSPICE, LLC
Active
Other names
Affinis Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH A THOMPSON RN, CHPN (VP OF OPERATIONS)
(912) 538-8000
Entity
Organization
Contact information
Practice address
806 MAPLE DR, VIDALIA, GA 30474-7208
(912) 538-0465
(912) 538-0467
Mailing address
806 MAPLE DR, VIDALIA, GA 30474-7208
(912) 538-8000
(912) 538-0467
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003152699A
—
GA
01
—
138-0397-H
STATE LICENSE
GA
Enumeration date
10/10/2013
Last updated
02/22/2017
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