CCN: 111665 NPI: 1427173699 Organization

AMEDISYS HOSPICE OF LAWRENCEVILLE

595 HURRICANE SHOALS RD NW , SUITE 200
LAWRENCEVILLE, GA 300468761

Contact Information

Phone 6784427338
Fax 6784427410
Enumeration Date 2007-03-20
Last Updated 2016-10-03

Taxonomies

Code: 251G00000X License State: GA
Code: 251G00000X (Primary) License State: GA License: 067-0294-H

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 12060

providerType 35

specialPaymentIndicator

carrierCode 10212

localityCode 01