Provider Demographics
NPI:1659694537
Name:HOME HEALTH HOSPICE
Entity Type:Organization
Organization Name:HOME HEALTH HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER . DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DION
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-462-1226
Mailing Address - Street 1:863 CHATEAU CT
Mailing Address - Street 2:SUITE # 260
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-2133
Mailing Address - Country:US
Mailing Address - Phone:404-462-1226
Mailing Address - Fax:
Practice Address - Street 1:863 CHATEAU CT
Practice Address - Street 2:SUITE # 260
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-2133
Practice Address - Country:US
Practice Address - Phone:404-462-1226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health