MEDICARE: THE ARC OF AUGUSTA, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	261QD1600X	Developmental Disabilities Clinic/Center
3	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1164136636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ARC OF AUGUSTA, INC.

Provider Business Mailing Address
First Line	:	11 N CENTRAL AVE STE 8
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401-4212
Country	:	US
Telephone Number	:	540-416-9116
Fax Number	:

Provider Business Practice Location Address
First Line	:	11 N CENTRAL AVE STE 8
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401-4212
Country	:	US
Telephone Number	:	540-416-9116
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	TOSHA BERRY
Credential	:
Telephone Number	:	540-712-1728

Provider Enumeration Date	:	01/10/2023
Last Update Date	:	10/22/2023

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