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Organization

AT HOME PALLIATIVE CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEVIN EUGENE GARDENHIRE (PRESIDENT)
(678) 923-1203
Entity
Organization

Contact information

Practice address
114 ENTERPRISE CT, SUITE B, COLUMBUS, GA 31904
(706) 507-3482
(706) 507-3488
Mailing address
3331 ANNA RUBY LANE, BUFORD, GA 30519
(678) 923-1203

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary

Other

Enumeration date
07/23/2019
Last updated
07/23/2019
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