Provider Demographics
NPI:1295975605
Name:HOSPICE SOUTH, LLC
Entity type:Organization
Organization Name:HOSPICE SOUTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:J
Authorized Official - Last Name:LINAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-896-6100
Mailing Address - Street 1:105 N PARRISH AVE
Mailing Address - Street 2:
Mailing Address - City:ADEL
Mailing Address - State:GA
Mailing Address - Zip Code:31620-2726
Mailing Address - Country:US
Mailing Address - Phone:229-896-6100
Mailing Address - Fax:229-896-6120
Practice Address - Street 1:105 N PARRISH AVE
Practice Address - Street 2:
Practice Address - City:ADEL
Practice Address - State:GA
Practice Address - Zip Code:31620-2726
Practice Address - Country:US
Practice Address - Phone:229-896-6100
Practice Address - Fax:229-896-6120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA037-0314-H251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based