Provider Demographics
NPI:1801281654
Name:ACCORD HOSPICE OF ATLANTA
Entity type:Organization
Organization Name:ACCORD HOSPICE OF ATLANTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NIXON
Authorized Official - Middle Name:UKENNA
Authorized Official - Last Name:ONYIRIMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-698-1480
Mailing Address - Street 1:2740 JEFFERSON ST
Mailing Address - Street 2:SUITE A5
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30168-4014
Mailing Address - Country:US
Mailing Address - Phone:678-698-1480
Mailing Address - Fax:
Practice Address - Street 1:2740 JEFFERSON ST
Practice Address - Street 2:SUITE A5
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30168-4014
Practice Address - Country:US
Practice Address - Phone:678-698-1480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based