Provider Demographics
NPI:1205194495
Name:METROPOLITAN HOSPICE OF GEORGIA INC
Entity type:Organization
Organization Name:METROPOLITAN HOSPICE OF GEORGIA INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:BURKHALTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-623-1957
Mailing Address - Street 1:1200 ABERNATHY RD NE
Mailing Address - Street 2:SUITE 1700
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5662
Mailing Address - Country:US
Mailing Address - Phone:832-623-1957
Mailing Address - Fax:
Practice Address - Street 1:1200 ABERNATHY RD NE
Practice Address - Street 2:SUITE 1700
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-5662
Practice Address - Country:US
Practice Address - Phone:832-623-1957
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-25
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA315D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient