Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Legacy Hospice of South Ga, LLC

Organization Community Based Hospice Care Agency · NPI 1760204630

Legacy Hospice of South Ga, LLC is a Community Based Hospice Care Agency in Hazlehurst, Georgia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

205 S Tallahassee St Ste A
Hazlehurst, GA 31539-6025
Phone: (912) 527-8602
Fax: (912) 527-8671
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Based Hospice Care Agency (primary) Taxonomy 251G00000X

Record details

NPI number1760204630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donnie Maberry — Executive Vice President · (972) 468-8070
Other names Coastal Hospice Of Georgia
NPI enumeratedOctober 30, 2024
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address101 W Renner Rd Ste 420, Richardson, TX 75082-2022

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