CCN: 111744 NPI: 1447590336 Organization

PROFESSIONAL HOSPICE AND PALLIATIVE CARE, LLC

2795 MAIN ST W STE 18A
SNELLVILLE, GA 300783071

Contact Information

Phone 4702756185
Fax 4702756178
Enumeration Date 2013-03-01
Last Updated 2021-03-24

Taxonomies

Code: 251G00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 12260

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12260

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12260

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 12260

providerType 35

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 12260

providerType 35

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 12260

providerType 35

specialPaymentIndicator

carrierCode 10212

localityCode 99