Eatonton Facility Development Company, LLC
Organization Active NPI Inpatient Hospice · Eatonton, GA
NPI 1376991000 · NPPES record last updated Jun 3, 2016
Key facts
- NPI
- 1376991000
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Inpatient Hospice 315D00000X
- License
- 007-0309-H (GA)
- Legal business name
- EATONTON FACILITY DEVELOPMENT COMPANY, LLC
- Practice address
- 155 Greensboro Rd
Eatonton, GA 31021 - Phone
- (770) 907-2417
- NPI assigned
- Jun 3, 2016
- Organization subpart
- No
Authorized official
- Name
- George W West
- Title
- Cfo
- Phone
- (770) 907-2417
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Inpatient Hospice | 315D00000X | 007-0309-H | GA | Yes |
Addresses
Primary practice location
155 Greensboro Rd
Eatonton, GA 31021
Mailing address
34 Upper Riverdale Rd SE
Suite 100
Riverdale, GA 30274-2635
Phone (770) 907-7222
Other providers in Eatonton, GA
- Leslie Criswell
- Joseph Anthony D'Agostino
- Rita Daniel
- Verntavius Jaymel Denham
- Eatonton Dental Sleep Solutions LLC
- Eatonton Pediatrics
- Eddie Richardson Jr MD PC
- Ellington Eyecare PLLC
- Michael Wayne Evans Jr.
- Family Practice & Surgery
All providers in Eatonton, GA · Inpatient Hospice in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.