# AUGUSTA NOBLE CARE, LLC

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

## Provider details

- **NPI number:** 1396587994
- **Authorized official:** NANCY OKEYO SSALI (OWNER)
- **Authorized official phone:** (706) 836-0119

## Contact information

- **Practice address:** 4553 COUNTRY GLEN CIR, GROVETOWN, GA 30813-3942
- **Practice address phone:** (706) 836-0119
- **Mailing address:** 4553 COUNTRY GLEN CIR, GROVETOWN, GA 30813-3942

## Taxonomy

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

## Other

- **Enumeration date:** 06/12/2024
- **Last updated:** 06/12/2024