Organization
AGNES ELDERLY CARE SITTER SERVICES AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD EDWARD MCRAE (OWNER/ADMINISTRATOR)
(706) 504-2380
Entity
Organization
Contact information
Practice address
3517 BROCKDALE DR, AUGUSTA, GA 30906-8991
(706) 922-7993
Mailing address
3517 BROCKDALE DR, AUGUSTA, GA 30906-8991
(706) 922-7993
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
17665
SC
253Z00000X
In Home Supportive Care Agency
LCB20120000162
GA
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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