OrganizationActive
Eatonton Facility Development Company, LLC
NPI 1376991000 · Inpatient Hospice · Eatonton, GA
Provider details
- NPI number
- 1376991000
- Entity type
- Organization
- Primary specialty
- Inpatient HospiceNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- George West, Cfo(770) 907-2417
- License
- 007-0309-H (GA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
155 Greensboro Rd
Eatonton, GA 31021
Phone: (770) 907-2417
Approximate (ZIP-level) locationGet directions
Mailing address
34 Upper Riverdale Rd Se
Riverdale, GA 30274-2635
Registry dates
- Enumerated
- 2016-06-03
- Last updated
- 2016-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.