Organization
SACRED JOURNEY HOSPICE, LLC
Active
Parent organization
SACRED JOURNEY HOSPICE, INC.
Other names
Sacred Journey Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
SACRED JOURNEY HOSPICE, INC.
Authorized official
MR. TIMOTHY WHOBREY (PROVIDER ENROLLMENT)
(502) 630-7249
Entity
Organization
Contact information
Practice address
575 PROFESSIONAL DR STE 165, LAWRENCEVILLE, GA 30046-3300
(678) 583-0717
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
060-0459-H
GA
315D00000X
Inpatient Hospice
060-0459-H
GA
Other
Enumeration date
08/29/2018
Last updated
11/04/2021
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