Organization
BLUE SUMMIT PALLIATIVE CARE LLC
Active
Parent organization
BLUE SUMMIT HOLDING LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUE SUMMIT HOLDING LLC
Authorized official
AMANDA DELPOZO MCKISSICK (CEO)
(470) 395-2510
Entity
Organization
Contact information
Practice address
11113 HOUZE RD STE 150, ROSWELL, GA 30076-1495
(470) 395-2510
Mailing address
11113 HOUZE RD STE 150, ROSWELL, GA 30076-1495
(470) 395-2510
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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