Organization
MAGNOLIA HOSPICE OF MACON, LLC
Active
Other names
OpusCare of Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
ISMAEL ROQUE-VELASCO (PRESIDENT/CEO)
(305) 591-1606
Entity
Organization
Contact information
Practice address
1515 BASS RD STE G, MACON, GA 31210-7579
(470) 281-8686
(877) 663-8423
Mailing address
6900 SW 80TH ST, MIAMI, FL 33143-4931
(305) 591-1606
(305) 591-1618
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
315D00000X
Inpatient Hospice
—
—
Other
Enumeration date
02/25/2019
Last updated
04/27/2023
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