Organization
HHC AUGUSTA INC
Active
Other names
Lighthouse Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SR VP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
3100 PERIMETER PKWY, AUGUSTA, GA 30909-4583
(706) 651-0005
Mailing address
3100 PERIMETER PKWY, AUGUSTA, GA 30909-4583
(706) 651-0005
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
CCI001286
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238497179B
—
GA
05
—
892MXH
—
SC
05
—
PENDING
—
GA
Enumeration date
06/21/2017
Last updated
07/21/2022
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