Organization
CSRA PRIVATE DUTY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT R HARDY (ADMINISTRATOR)
(706) 678-3108
Entity
Organization
Contact information
Practice address
208 GORDON ST, WASHINGTON, GA 30673-1604
(706) 678-3108
(706) 678-3111
Mailing address
PO BOX 254, WASHINGTON, GA 30673-0254
(706) 678-3108
(706) 678-3111
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
157-R-0003
GA
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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