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Tidewater Hospice Augusta LLC

Home Health in Augusta, GA. Organization (NPI-2).

NPI number1669920005
StatusActive
Last updated in NPPESSep 14, 2016

Details

NPI
1669920005
Entity type
Organization (NPI-2)
Legal business name
Tidewater Hospice Augusta LLC
Organization subpart
No
Enumeration date
Sep 14, 2016
Last updated
Sep 14, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health1210432HGAYes

Practice location

206 Pitcarin Way
Suite B
Augusta, GA 30909-5766

Phone 803-600-0842

Mailing address

335 Pleasant Point Drive
Beaufort, SC 29907

Phone 803-600-0842

Authorized official

Stephanie Guest
Cfo
8036000842

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