# PROSPER AUGUSTA, LLC

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

## Provider details

- **NPI number:** 1679100275
- **Authorized official:** DOUGLAS LUEDER (CEO)
- **Authorized official phone:** (404) 784-3365

## Contact information

- **Practice address:** 1287 MARKS CHURCH RD STE A, AUGUSTA, GA 30909-2497
- **Practice address phone:** (705) 504-3770
- **Mailing address:** 3088 MERCER UNIVERSITY DR STE 100, ATLANTA, GA 30341-4140
- **Mailing address phone:** (404) 784-3365

## Taxonomy

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

## Other

- **Enumeration date:** 03/24/2020
- **Last updated:** 03/24/2020