Organization
ALTUS HOSPICE OF GEORGIA LLC
Active
Other names
Halcyon Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D. STELLY (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
5411 NORTHLAND DR, 2ND FLOOR, ATLANTA, GA 30342-2061
(770) 730-8405
(770) 730-8408
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
777588136A
—
GA
Enumeration date
11/06/2011
Last updated
06/01/2016
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