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Organization
ALTRUS LLC
Active
Organization
ALTRUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSTY CHIZHEVSKY (ASST. GENERAL COUNSEL)
(847) 840-1894
Entity
Organization
Contact information
Practice address
119 DAVIS RD STE 2B, AUGUSTA, GA 30907-0207
(912) 354-6011
Mailing address
33 S STATE ST FL 5, CHICAGO, IL 60603-2804
(312) 762-9999
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000437269B
—
GA
01
—
PCH009257
GA DEPT OF COMMUNITY HEALTH
GA
01
—
PCH010021
STATE OF GA PERSONAL CARE HOME PERMIT
GA
01
—
PCH012199
GEORGIA DEPT OF COMMUNITY HEALTH
GA
01
—
PCH012221
STATE OF GA PERSONAL CARE HOME PERMIT
GA
01
—
PCH012245
HFRD LICENSE
GA
Enumeration date
01/25/2012
Last updated
07/25/2024
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