Legacy Hospice of South Ga, LLC
NPI #1760204630 in Hazlehurst, Georgia
Provider Information
- NPI Number
- 1760204630
- Entity Type
- Organization
- Organization Name
- Legacy Hospice of South Ga, LLC
- Primary Specialty
- Hospice Care, Community Based
- Enumeration Date
- Oct 30, 2024
- Last Updated
- Jun 12, 2025
Practice Location
- Address
- 205 S TALLAHASSEE ST STE A
- City
- Hazlehurst
- State
- Georgia
- ZIP Code
- 31539-6025
- Phone
- (912) 527-8602
Authorized Official
- Name
- DONNIE MABERRY
- Title
- EXECUTIVE VICE PRESIDENT
- Phone
- (972) 468-8070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hospice Care, Community Based |
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