Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Therrion Wallace

Individual provider In Home Supportive Care Agency · NPI 1316813413

Therrion Wallace is an In Home Supportive Care Agency in Augusta, Georgia. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

2412 Antebellum Dr # A
Augusta, GA 30906-3383
Phone: (706) 372-3886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X

Record details

NPI number1316813413
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 15, 2025
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025
Mailing address2412 Antebellum Dr # A, Augusta, GA 30906-3383

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