Absolute Family Pch
Point of Service in Augusta, GA. Organization (NPI-2).
NPI number1760615280
StatusActive
Last updated in NPPESSep 1, 2009
Details
- NPI
- 1760615280
- Entity type
- Organization (NPI-2)
- Legal business name
- Absolute Family Pch
- Organization subpart
- No
- Enumeration date
- Sep 1, 2009
- Last updated
- Sep 1, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | 121013181 | GA | Yes |
Other names
- 1st Choice Transitional Living Facility (Doing Business As)
Practice location
2035 Old Savannah Rd.Augusta, GA 30901
Phone 706-394-8093
Mailing address
2516 Coleman Ave.Augusta, GA 30906
Phone 706-364-7588 · Fax 706-364-7588
Authorized official
Philandis Wimbush
Administrator
7063948093
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