NPI 1376991000

Eatonton Facility Development Company, LLC

Organisation Inpatient Hospice Eatonton, GA

Practice location

Address: 155 Greensboro Rd, Eatonton, GA 31021
Phone: (770) 907-2417
Mailing address: 34 Upper Riverdale Rd SE Suite 100, Riverdale, GA 30274-2635

Authorised official

Name: George W West
Title: Cfo
Phone: (770) 907-2417

Registered specialties

Inpatient Hospice Primary

Nursing & Custodial Care Facilities Taxonomy 315D00000X Licence 007-0309-H (GA)

Other Hospice, Inpatient providers in Georgia →

Registry record

NPI: 1376991000
Entity type: Organization
NPI issued: 3 Jun 2016
Record last updated: 3 Jun 2016

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.