Whalio Doctors

NPI 1578190450

Four-Sixty INC

Organisation Inpatient Hospice Rome, GA

Practice location

Address
4300 Martha Berry Hwy NE, Rome, GA 30165-8642
Phone
(678) 834-7615
Mailing address
460 Berkshire Pl, Fairburn, GA 30213-2069

Authorised official

Name
Norwood N Richardson
Title
Owner
Phone
(832) 454-8506

Registered specialties (3)

Inpatient Hospice Primary
Nursing & Custodial Care Facilities Taxonomy 315D00000X
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X
Foster Care Agency
Agencies Taxonomy 253J00000X

Registry record

NPI
1578190450
Entity type
Organization
NPI issued
23 Mar 2020
Record last updated
23 Mar 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.