Organization
IMS HOSPICE
Active
Organization
IMS HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAUREEN ASHE (EXEVUTIVE DIRECTOR)
(678) 754-6339
Entity
Organization
Contact information
Practice address
3300 BUCKEYE RD STE 264, ATLANTA, GA 30341-4234
(404) 299-3838
Mailing address
2140 MCGEE RD # 340, SNELLVILLE, GA 30078-2980
(678) 360-2448
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
044-R-0116
GA
251F00000X
Home Infusion Agency
R117235
GA
251G00000X
Community Based Hospice Care Agency
Primary
—
—
251J00000X
Nursing Care Agency
044-R-0116
GA
Other
Enumeration date
10/27/2007
Last updated
01/06/2010
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