GLORY HOSPICE & PALLIATIVE CARE COMPANY NPI 1346543741

NPI Information

GLORY HOSPICE & PALLIATIVE CARE COMPANY is a hospice care community based in Columbus, GA. GLORY HOSPICE & PALLIATIVE CARE COMPANY NPI is 1346543741. The provider is registered as an organization entity type.

The provider's business location address is:

122 ENTERPRISE CT
SUITE D
COLUMBUS, GA
ZIP 31904-651
Phone: (706) 507-5445
Fax: (706) 507-5488

The provider's authorized official is Kevin Eugene Gardenhire .
The authorized official title is Owner and has the following contact phone number (706) 507-5445.

The CLIA number assigned to this NPI record is 11D2019102 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2010 and was last updated on 8/31/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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