Provider Demographics
NPI:1598844235
Name:GINGERHILL ALTERNATIVE LIVING SERVICE, INC
Entity Type:Organization
Organization Name:GINGERHILL ALTERNATIVE LIVING SERVICE, INC
Other - Org Name:CSRA HEALTH SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:TALKINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-869-8400
Mailing Address - Street 1:1203 GEORGE C WILSON DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-4502
Mailing Address - Country:US
Mailing Address - Phone:706-869-8400
Mailing Address - Fax:
Practice Address - Street 1:1203 GEORGE C WILSON DR
Practice Address - Street 2:SUITE A
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-4502
Practice Address - Country:US
Practice Address - Phone:706-869-8400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management