Organization
AUGUSTA VILLAS BY HARBORVIEW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA DENISON RN (REGIONAL DIRECTOR OF OPERATIONS)
(912) 294-6699
Entity
Organization
Contact information
Practice address
2237 LEE ST, AUGUSTA, GA 30904-4833
(706) 736-9663
Mailing address
2536 WHEATON RD, ODUM, GA 31555-8225
(912) 294-6699
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234
DO NOT HAVE ANOTHER NUMBER
GA
Enumeration date
03/03/2023
Last updated
03/03/2023
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