NPI 1255417432

Jackson Lake Hospice INC

Organisation Community Based Hospice Care Agency Macon, GA

Practice location

Address: 128 Brandon Way, Macon, GA 31210
Phone: (770) 305-9393
Fax: (770) 305-9662
Mailing address: PO Box 1927, Jackson, GA 30233-0037

Authorised official

Name: Michael Keith Henson
Title: Ceo
Phone: (770) 305-9393

Registered specialties

Community Based Hospice Care Agency Primary

Agencies Taxonomy 251G00000X

Other Hospice Care, Community Based providers in Georgia →

Registry record

NPI: 1255417432
Entity type: Organization
NPI issued: 31 Oct 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.