Provider Demographics
NPI:1811448319
Name:BUTTERFLY GARDENS HOSPICE & PALLIATIVE CARE
Entity type:Organization
Organization Name:BUTTERFLY GARDENS HOSPICE & PALLIATIVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICIAL
Authorized Official - Prefix:MS
Authorized Official - First Name:TUCOLA
Authorized Official - Middle Name:NECHELL
Authorized Official - Last Name:CALISKAN
Authorized Official - Suffix:
Authorized Official - Credentials:LLC
Authorized Official - Phone:706-303-4881
Mailing Address - Street 1:3112 BLACKMON CT
Mailing Address - Street 2:3112 BLACKMON COURT
Mailing Address - City:HEPHZIBAH
Mailing Address - State:GA
Mailing Address - Zip Code:30815-7064
Mailing Address - Country:US
Mailing Address - Phone:706-303-4881
Mailing Address - Fax:
Practice Address - Street 1:3112 BLACKMON COURT
Practice Address - Street 2:
Practice Address - City:HEPHZIBAH
Practice Address - State:GA
Practice Address - Zip Code:30815
Practice Address - Country:US
Practice Address - Phone:706-303-4881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-19
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient