# A HOME AWAY FROM HOME HC LLC

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

## Provider details

- **NPI number:** 1770330516
- **Authorized official:** TIFFANY HOLDEN (OWNER)
- **Authorized official phone:** (706) 550-8127

## Contact information

- **Practice address:** 2452 BELGRADE CT, AUGUSTA, GA 30906-4007
- **Practice address phone:** (706) 550-8127
- **Mailing address:** 2452 BELGRADE CT, AUGUSTA, GA 30906-4007
- **Mailing address phone:** (706) 550-8127

## Taxonomy

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

## Other

- **Enumeration date:** 04/30/2024
- **Last updated:** 04/30/2024