Brandon Wilde

LBN: Augusta Resource Center On Aging, Inc.
Brandon Wilde is an health care organization with primary practice located at 4275 Owens Rd , Evans GA 30809-3066. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Augusta Resource Center On Aging, Inc. can be contacted via phone (706) 868-3526, or through Kisner, Richard via phone (706) 868-3527.

Contact Information

Primary practice address
4275 Owens Rd Evans GA 30809-3066
Phone: (706) 868-3526
Fax: (706) 868-3525
Website:
Map and Directions
Authorized official contact:
Name: Kisner, Richard
Phone: (706) 868-3527

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1508855115
LBN Legal business name Augusta Resource Center On Aging, Inc.
DBA Doing business as Brandon Wilde
Authorized official Kisner, Richard
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 17th, 2005
Last updated Jun 8th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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