Organization
CSRA HOLDINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE HOLTSFORD (DIRECTOR OF BUSINESS OFFICE SUPPORT)
(615) 465-7488
Entity
Organization
Contact information
Practice address
2803 WRIGHTSBORO RD, AUGUSTA, GA 30909-3913
(706) 729-6000
(706) 729-6451
Mailing address
2260 WRIGHTSBORO RD, AUGUSTA, GA 30904-4764
(706) 729-6000
(706) 729-6451
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2874
—
SC
Enumeration date
04/20/2006
Last updated
09/07/2007
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