NPI 1164112561 · live from the CMS NPI Registry
Acworth Community Hospice LLC
Hospice Care, Community Based in Acworth, GA. National Provider Identifier 1164112561, active.
NPI record
| NPI | 1164112561 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 4929 N Main St Ste 206, Acworth, GA 30101 |
| Practice phone | 678-471-6983 |
| Mailing address | 124 Valley Farm Ln, Acworth, GA 30102 |
| Enumerated | May 9, 2023 |
| Last updated | May 9, 2023 |
| Authorized official | Lori Mabry, Owner / Ceo |
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.