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ABSOLUTE FAMILY PCH NPI 1760615280


NPI Information

NPI: 1760615280
Provider Name: ABSOLUTE FAMILY PCH

Doing Business As: 1ST CHOICE TRANSITIONAL LIVING FACILITY

Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
2035 OLD SAVANNAH RD.
AUGUSTA, GA
ZIP 30901
Phone: (706) 394-8093
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ABSOLUTE FAMILY PCH is a point of service in Augusta, GA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. ABSOLUTE FAMILY PCH NPI is 1760615280. The provider is registered as an organization entity type.
The provider Is Doing Business As 1st Choice Transitional Living Facility.

The provider's business location address is:

2035 OLD SAVANNAH RD.
AUGUSTA, GA
ZIP 30901
Phone: (706) 394-8093

The provider's authorized official is Philandis Wimbush .
The authorized official title is Administrator and has the following contact phone number (706) 394-8093.

The enumeration date for this NPI number is 9/1/2009 and was last updated on 9/1/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of Service121013181GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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