Provider Demographics
NPI:1548034267
Name:AUGUSTO HEALTH SERVICES INC
Entity type:Organization
Organization Name:AUGUSTO HEALTH SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GOVERNOR
Authorized Official - Prefix:
Authorized Official - First Name:ROMEO
Authorized Official - Middle Name:
Authorized Official - Last Name:BELOCURA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:253-315-9184
Mailing Address - Street 1:1130 11TH ST SW
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98371-6702
Mailing Address - Country:US
Mailing Address - Phone:253-315-9184
Mailing Address - Fax:253-322-2383
Practice Address - Street 1:1130 11TH ST SW
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-6702
Practice Address - Country:US
Practice Address - Phone:253-315-9184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty