Organization
TIDEWATER HOSPICE AUGUSTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GUEST RPH (CFO)
(803) 600-0842
Entity
Organization
Contact information
Practice address
206 PITCARIN WAY, SUITE B, AUGUSTA, GA 30909-5766
(803) 600-0842
Mailing address
335 PLEASANT POINT DRIVE, BEAUFORT, SC 29907
(803) 600-0842
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1210432H
GA
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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