Blue Summit Palliative Care LLC
Case Management in Roswell, GA. Organization (NPI-2).
NPI number1841017985
StatusActive
Last updated in NPPESSep 20, 2024
Details
- NPI
- 1841017985
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Summit Palliative Care LLC
- Organization subpart
- Yes
- Enumeration date
- Sep 20, 2024
- Certification date
- Sep 20, 2024
- Last updated
- Sep 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
| 261QM2500X | Clinic/Center, Medical Specialty | – | – |
Practice location
11113 Houze Rd Ste 150Roswell, GA 30076-1495
Phone 470-395-2510
Mailing address
11113 Houze Rd Ste 150Roswell, GA 30076-1495
Phone 470-395-2510
Authorized official
Amanda Delpozo Mckissick
Ceo
4703952510
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