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  • 851509
CCN: 851509 NPI: 1912489741 Organization

SACRED JOURNEY HOSPICE-GWINNETT

575 PROFESSIONAL DR STE 165
LAWRENCEVILLE, GA 300463300

Contact Information

  • Phone 6785830717
  • Enumeration Date 2018-08-29
  • Last Updated 2021-11-04

Taxonomies

  • Code: 315D00000X License State: GA License: 060-0459-H
  • Code: 251G00000X (Primary) License State: GA License: 060-0459-H

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 3
cbsaActualGeographicLocation 99939
providerType 35
censusDivision 3
cbsaActualGeographicLocation 99939
providerType 35
censusDivision 3
cbsaActualGeographicLocation 99939
providerType 35
censusDivision 3
cbsaActualGeographicLocation 99939
providerType 35
censusDivision 3
cbsaActualGeographicLocation 99939
providerType 35
censusDivision 3
cbsaActualGeographicLocation 99939
providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 99939
providerType 35
specialPaymentIndicator
carrierCode 10212
localityCode 01
cbsaActualGeographicLocation 99939
providerType 35
specialPaymentIndicator
carrierCode 10212
localityCode 01
cbsaActualGeographicLocation 99939
providerType 35
carrierCode 10212
localityCode 01
cbsaActualGeographicLocation 99939
providerType 35
specialPaymentIndicator
carrierCode 10212
localityCode 01
cbsaActualGeographicLocation 99939
providerType 35
specialPaymentIndicator
carrierCode 10212
localityCode 01
cbsaActualGeographicLocation 99939
providerType 35
specialPaymentIndicator
carrierCode 10212
localityCode 01
cbsaActualGeographicLocation 99939
providerType 35
specialPaymentIndicator
carrierCode 10212
localityCode 01

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