Homecare South

NPI 1477789808 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1477789808
Enumeration Date 05/29/2009
Last Updated 05/29/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name WANDA WANDA
Position NURSE SUPERVISOR
Phone (803) 275-9480
Fax (803) 275-9481
Practice Location
340 LEE ST
JOHNSTON SC, 29832-1433, US
Phone (803) 275-9480
Fax (803) 275-9481
Business Location
340 LEE ST
JOHNSTON SC, 29832-1433, US
Phone (803) 275-9480
Fax (803) 275-9481
Toxanomy
Taxonomy Code 314000000X
License State South Carolina
License Number 001544
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According to our database, Homecare South NPI is 1477789808, taxonomy code is 314000000X and license number is 001544, license state is located at South Carolina. Homecare South physically located at 340 Lee St, Johnston SC, 29832-1433. NPI Number 1033115704 has the healthcare provider type.

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1477789808 NPI number is provided on an as is basis without warranty of any kind. 1477789808 is maintained by the National Plan & Provider Enumeration System. The contents of Homecare South are for informational purposes only.