Provider Demographics
NPI:1205603677
Name:ETERNAL HILL HOSPICE CARE INC
Entity type:Organization
Organization Name:ETERNAL HILL HOSPICE CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:GAYNELL
Authorized Official - Middle Name:F
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:770-355-7778
Mailing Address - Street 1:2398 LENORA CHURCH RD STE 206
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-6921
Mailing Address - Country:US
Mailing Address - Phone:770-769-1728
Mailing Address - Fax:
Practice Address - Street 1:2398 LENORA CHURCH RD STE 206
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6921
Practice Address - Country:US
Practice Address - Phone:770-769-1728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-06
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based