AMAZING GRACE PCH
NPI 1689984379
Assisted Living Facility in Augusta, GA
- Organization
- Assisted Living Facility
About AMAZING GRACE PCH
This page provides the complete NPI Profile along with additional information for Amazing Grace Pch, a provider established in Augusta, Georgia operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1689984379 assigned on October 2010. The practitioner's primary taxonomy code is 310400000X with license number 121014381 (GA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Chandra Tomiko Jones (Owner)
- NPI
- 1689984379 Verify this NPI
- Provider Name
- AMAZING GRACE PCH
- Entity Type
- Organization
- Location Address
- 1307 CABANA CT AUGUSTA, GA 30909
- Location Phone
- (706) 834-8106
- Mailing Address
- 4570 PINTAIL CT MARTINEZ, GA 30907
- Mailing Phone
- (706) 834-8106
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-14-2010
- Last Update Date
- 10-14-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 121014381
- License State
- GA
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689984379, enumerated as an "organization" on October 14, 2010.
The provider is located at 1307 CABANA CT AUGUSTA, GA 30909 and the phone number is (706) 834-8106.
Assisted Living Facility with taxonomy code 310400000X.
