# CARESOUTH PRIVATE DUTY OF GEORGIA, LLC

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

## Provider details

- **NPI number:** 1558705244
- **Authorized official:** MR. RICK W GRIFFIN (PRES/CEO)
- **Authorized official phone:** (706) 855-5533

## Contact information

- **Practice address:** 231 FURYS FERRY RD, STE 212, AUGUSTA, GA 30907-4728
- **Practice address phone:** (706) 550-9966
- **Practice address fax:** (706) 550-9967
- **Mailing address:** PO BOX 200, AUGUSTA, GA 30903-0200
- **Mailing address phone:** (706) 855-5533
- **Mailing address fax:** (706) 854-7382

## Taxonomy

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

## Other

- **Enumeration date:** 04/24/2013
- **Last updated:** 04/24/2013