NPI 1023877495
Living-In-Care
Practice location
- Address
- 716 5th St, Augusta, GA 30901-2413
- Phone
- (912) 605-6167
- Mailing address
- 4064 Ellington Dr, Grovetown, GA 30813-8133
Authorised official
- Name
- Samuel Tobin
- Title
- President
- Phone
- (915) 487-7336
Registered specialties (7)
Nursing Care Agency
Primary
Counselor
Psychologist
Addiction (Substance Use Disorder) Psychologist
Cognitive & Behavioral Psychologist
Intellectual & Developmental Disabilities Psychologist
Physical Therapist
Registry record
- NPI
- 1023877495
- Entity type
- Organization
- NPI issued
- 18 Mar 2024
- Record last updated
- 18 Mar 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.