Provider Demographics
NPI:1184161127
Name:HOPE HOSPICE AND PALLIATIVE CARE SERVICE
Entity type:Organization
Organization Name:HOPE HOSPICE AND PALLIATIVE CARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GAYNELL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-355-7778
Mailing Address - Street 1:982 HIGHWAY 124
Mailing Address - Street 2:SUITE B
Mailing Address - City:BRASELTON
Mailing Address - State:GA
Mailing Address - Zip Code:30517-3422
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:982 HIGHWAY 124
Practice Address - Street 2:SUITE B
Practice Address - City:BRASELTON
Practice Address - State:GA
Practice Address - Zip Code:30517-3422
Practice Address - Country:US
Practice Address - Phone:770-355-7778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-29
Last Update Date:2017-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health