Organization
PLACE AT AUGUSTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
W MELISSA ODEN (OWNER)
(615) 585-4444
Entity
Organization
Contact information
Practice address
820 STEVENS CREEK RD, AUGUSTA, GA 30907-9251
(615) 706-8606
Mailing address
820 STEVENS CREEK RD, AUGUSTA, GA 30907-9251
(706) 860-6622
(706) 860-6532
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000213463A
—
GA
Enumeration date
07/10/2006
Last updated
06/07/2008
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