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Organization

CSRA HOME HEALTH AGENCY-COLUMBIA, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. C. SCOTT BRADFORD (CEO)
(800) 344-6371
Entity
Organization

Contact information

Practice address
415 W HILL ST, THOMSON, GA 30824-2105
(800) 914-9688
(706) 595-5547
Mailing address
415 W HILL ST STE 1, THOMSON, GA 30824-2105
(800) 914-9688
(706) 595-5547

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
097-189
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000750901B
GA
05
000750901C
GA
05
00222532A
GA
Enumeration date
08/08/2006
Last updated
11/17/2020
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