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Organization
AUGUSTA VILLAS BY HARBORVIEW LLC
Active
Organization
AUGUSTA VILLAS BY HARBORVIEW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA DENISON RN (REGIONAL DIRECTOR OF OPERATIONS)
(912) 294-6699
Entity
Organization
Contact information
Practice address
2237 LEE ST, AUGUSTA, GA 30904-4833
(706) 736-9663
Mailing address
2536 WHEATON RD, ODUM, GA 31555-8225
(912) 294-6699
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234
DO NOT HAVE ANOTHER NUMBER
GA
Enumeration date
03/03/2023
Last updated
03/03/2023
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