Iris Cove Personal Care Home

NPI 1902296866 - Custodial Care Facility - 311Z00000X

NPI Details
NPI 1902296866
Enumeration Date 01/30/2015
Last Updated 01/30/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name NICOLE NICOLE
Position OWNER
Phone (706) 723-5949
Fax
Practice Location
2382 WHEELESS RD
AUGUSTA GA, 30906-5404, US
Phone (706) 723-5949
Fax
Business Location
2382 WHEELESS RD
AUGUSTA GA, 30906-5404, US
Phone (706) 723-5949
Fax
Toxanomy
Taxonomy Code 311Z00000X
License State Georgia
License Number LCB20130000967
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According to our database, Iris Cove Personal Care Home NPI is 1902296866, taxonomy code is 311Z00000X and license number is LCB20130000967, license state is located at Georgia. Iris Cove Personal Care Home physically located at 2382 Wheeless Rd, Augusta GA, 30906-5404. NPI Number 1033115704 has the healthcare provider type.

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1902296866 NPI number is provided on an as is basis without warranty of any kind. 1902296866 is maintained by the National Plan & Provider Enumeration System. The contents of Iris Cove Personal Care Home are for informational purposes only.