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PRUITTHEALTH HOSPICE, INC.

Hospice, Inpatient

Macon, Georgia

Provider NPI: 1235177205

Organization Information:
Organization Name:  PRUITTHEALTH HOSPICE, INC.


Practice Location:
6060 LAKESIDE COMMONS DR  MACON, GA 31210 US
Tel: 478-745-9204  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207RH0002XPhysicians
Internal Medicine
Hospice and Palliative Medicine
Y251G00000XAgencies
Hospice Care, Community Based

Other Provider Identifiers:

IssuerNumberStateType
00697716AGA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




HOSPICE JOBS GA - Page 1



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