Provider Demographics
NPI:1437454667
Name:AT PEACE HOSPICE CARE, LLC
Entity Type:Organization
Organization Name:AT PEACE HOSPICE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BELAMAY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:LANHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-602-4975
Mailing Address - Street 1:1101 N PIEDMONT AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:ROCKMART
Mailing Address - State:GA
Mailing Address - Zip Code:30153
Mailing Address - Country:US
Mailing Address - Phone:770-684-2842
Mailing Address - Fax:770-684-2843
Practice Address - Street 1:1101 N PIEDMONT AVE
Practice Address - Street 2:SUITE C
Practice Address - City:ROCKMART
Practice Address - State:GA
Practice Address - Zip Code:30153
Practice Address - Country:US
Practice Address - Phone:770-684-2842
Practice Address - Fax:770-684-2843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based