CCN: 111683 NPI: 1609023647 Organization

AGAPE HOSPICE OF NORTHEAST GEORGIA

137 N BROAD ST , SUITE C
WINDER, GA 306802152

Contact Information

Phone 7705865103
Fax 7705865108
Enumeration Date 2008-08-21
Last Updated 2008-08-21

Taxonomies

Code: 251G00000X (Primary) License State: GA

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 31420

providerType 35

censusDivision 3

cbsaActualGeographicLocation 31420

providerType 35

censusDivision 3

cbsaActualGeographicLocation 31420

providerType 35

censusDivision 3

cbsaActualGeographicLocation 31420

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 31420

providerType 35

specialPaymentIndicator

carrierCode 10212

localityCode 99