Provider Demographics
NPI:1942590856
Name:HOSPICE PROFESSIONALS OF METRO ATLANTA
Entity Type:Organization
Organization Name:HOSPICE PROFESSIONALS OF METRO ATLANTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANISSA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:HEMINGWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-514-2174
Mailing Address - Street 1:2140 MCGEE RD STE C310
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-2966
Mailing Address - Country:US
Mailing Address - Phone:678-514-2174
Mailing Address - Fax:678-514-2172
Practice Address - Street 1:2140 MCGEE RD STE C310
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-2966
Practice Address - Country:US
Practice Address - Phone:678-514-2174
Practice Address - Fax:678-514-2172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based