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CCN: 111766 NPI: 1548678923 Organization

Sovereign Hospice

5675 JIMMY CARTER BLVD STE 100B
NORCROSS, GA 300714666

Contact Information

  • Phone 4702233773
  • Fax 4049913662
  • Enumeration Date 2014-07-29
  • Last Updated 2014-07-29

Taxonomies

  • Code: 251G00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

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 →

cbsaActualGeographicLocation 10202
providerType 35
specialPaymentIndicator
carrierCode 10212
localityCode 01
cbsaActualGeographicLocation 10202
providerType 35
specialPaymentIndicator
carrierCode 10212
localityCode 01

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