Organization
TIFT REGIONAL HEALTH SYSTEM, INC.
Active
Other names
Hospice of Tift Area
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DORMAN (PRESIDENT/CEO)
(229) 353-6104
Entity
Organization
Contact information
Practice address
618 CENTRAL AVE N, TIFTON, GA 31794-4336
(229) 353-6330
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 353-3422
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
137-180
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000407569A
—
GA
Enumeration date
09/07/2006
Last updated
09/28/2022
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