- Enrollment id
- O20210518003063
- Enrollment state
- GA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1689293060
- Multiple npi flag
- N
- Ccn
- 851552
- Associate id
- 8123427440
- Organization name
- FAMILY FIRST HOSPICE & PALLIATIVE CARE LLC
- Incorporation date
- 2020-03-19
- Incorporation state
- GA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 13010 MORRIS RD
- Address line 2
- STE 600
- City
- ALPHARETTA
- State
- GA
- Zip code
- 300045096