Organization
GINGERHILL ALTERNATIVE LIVING SERVICE
Active
Other names
CSRA HEALTH SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE D TALKINGTON (OFFICE MANAGER)
(706) 869-8400
Entity
Organization
Contact information
Practice address
1203 GEORGE C WILSON DR, SUITE A, AUGUSTA, GA 30909-4502
(706) 869-8400
Mailing address
1203 GEORGE C WILSON DR, SUITE A, AUGUSTA, GA 30909-4502
(706) 869-8400
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
R20392
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00272071A
—
GA
05
—
00272071B
—
GA
Enumeration date
01/17/2007
Last updated
08/22/2020
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