Organization
CHAMPION NURSING SERVICES, INC
Active
Other names
Champion Hospice, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KETHY MICHEL (ADMINISTRATOR)
(404) 719-0631
Entity
Organization
Contact information
Practice address
2365 WALL ST SE STE 210, CONYERS, GA 30013-2197
(404) 719-0631
(678) 658-7634
Mailing address
2365 WALL ST SE STE 230, CONYERS, GA 30013-2197
(404) 587-0945
(678) 658-7634
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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