# AUGUSTA VILLAS BY HARBORVIEW LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164122768
- **Authorized official:** ANGELA DENISON RN (REGIONAL DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (912) 294-6699

## Contact information

- **Practice address:** 2237 LEE ST, AUGUSTA, GA 30904-4833
- **Practice address phone:** (706) 736-9663
- **Mailing address:** 2536 WHEATON RD, ODUM, GA 31555-8225
- **Mailing address phone:** (912) 294-6699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2023
- **Last updated:** 03/03/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1234 | DO NOT HAVE ANOTHER NUMBER | GA |