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General NPI Number Information
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NPI Number | 1508640871
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Entity Type | Organization
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Legal Business Name | TRUECARE OF AUGUSTA LLC II
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Dates
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Enumeration Date | 08/18/2023
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Last Update Date | 08/18/2023
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Provider Practice Location Address
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Address Line | 550 GIBBS RD
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City | EVANS
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State | GA
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Zip | 30809-3832
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Country | US
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Telephone | 706-305-9748
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Fax |
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Provider Business Mailing Address
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Address Line | 550 GIBBS RD
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City | EVANS
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State | GA
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Zip | 30809-3832
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Country | US
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Telephone | 706-305-9748
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. ELIZABETH MATOS
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Credential |
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Telephone | 706-244-2131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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