NPI 1154011104 · live from the CMS NPI Registry
Amazing Grace Hospice Care, LLC
Hospice Care, Community Based in Dallas, GA. National Provider Identifier 1154011104, active.
NPI record
| NPI | 1154011104 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 168 N Johnston St Ste 104, Dallas, GA 30132 |
| Practice phone | 470-474-9181 |
| Enumerated | May 12, 2023 |
| Last updated | May 12, 2023 |
| Authorized official | Laura Hubbard, Executive Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.