Organization · NPI-2

Cumberland Village At Home

In Home Supportive Care · Aiken, SC

NPI number1003612631
StatusActive
Last updated in NPPESFeb 24, 2025

Details

NPI
1003612631
Entity type
Organization (NPI-2)
Legal business name
Cumberland Village At Home
Organization subpart
No
Enumeration date
Feb 24, 2025
Certification date
Feb 20, 2025
Last updated
Feb 24, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

3335 Wise Creek Ln
Aiken, SC 29801-2509

Phone 954-496-0387

Mailing address

5711 Bayview Dr
Fort Lauderdale, FL 33308-2830

Phone 954-496-0387

Authorized official

Thomas Michael Rabold
President
9544960387

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