Organization
ANGEL HEART HOSPICE AND PALLIATIVE CARE MOBILE LAB
Active
Parent organization
HOSPICE CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPICE CARE
Authorized official
DWELVER NIKKI WEBB (CEO)
(470) 381-2983
Entity
Organization
Contact information
Practice address
2302 PARKLAKE DR NE # 568, ATLANTA, GA 30345-2896
(470) 381-2983
Mailing address
2302 PARKLAKE DR NE STE 568, ATLANTA, GA 30345-2896
(470) 381-2139
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780211284
—
GA
Enumeration date
03/25/2020
Last updated
03/02/2022
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