Wellformed AI

NPI 1265035513 · live from the CMS NPI Registry

Aeon Hospice LLC

Hospice Care, Community Based in Roswell, GA. National Provider Identifier 1265035513, active.

NPI record

NPI1265035513 Type 2 · organization
StatusActive
Primary specialtyHospice Care, Community Based 251G00000X
Practice location11205 Alpharetta Hwy Ste E3, Roswell, GA 30076
Practice phone678-462-1339
EnumeratedNovember 19, 2020
Last updatedNovember 19, 2020
Authorized officialPrakash Gopalakrishnan, Organizer

Taxonomies and licenses

TaxonomyCodeLicense
Hospice Care, Community Based primary251G00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.