Organization
SECURE CARE AUGUSTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA LEGRAND LUNDY (BILLING MANAGEMENT)
(706) 723-9926
Entity
Organization
Contact information
Practice address
1520 MONTE SANO AVE, AUGUSTA, GA 30904-7808
(706) 993-9271
(706) 863-5638
Mailing address
1520 MONTE SANO AVE, AUGUSTA, GA 30904-7808
(706) 993-9271
(706) 863-5638
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
163WH0200X
Home Health Registered Nurse
—
—
Other
Enumeration date
12/17/2012
Last updated
06/03/2020
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