Organization
LEGACY HOSPICE GA LLC
Active
Other names
Coastal Hospice of Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
DONNIE MABERRY (EXECUTIVE VICE PRESIDENT)
(972) 468-8070
Entity
Organization
Contact information
Practice address
205 S TALLAHASSEE ST, HAZLEHURST, GA 31539-6025
(912) 388-3376
(912) 559-5705
Mailing address
101 W RENNER RD STE 420, RICHARDSON, TX 75082-2022
(877) 525-3338
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
04/29/2026
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