Kershaw Hospital LLC
Home Health in Lugoff, SC. Organization (NPI-2).
NPI number1093705121
StatusActive
Last updated in NPPESMar 12, 2021
Details
- NPI
- 1093705121
- Entity type
- Organization (NPI-2)
- Legal business name
- Kershaw Hospital LLC
- Organization subpart
- No
- Enumeration date
- Oct 28, 2005
- Certification date
- Mar 12, 2021
- Last updated
- Mar 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | HHA-0321 | SC | Yes |
Other names
- Kershawhealth Home Health (Doing Business As)
Practice location
1165 Highway 1 SLugoff, SC 29078-8966
Phone 803-425-1182
Mailing address
1165 Highway 1 SLugoff, SC 29078-8966
Phone 803-425-1182 · Fax 803-432-6351
Authorized official
Kathy J. Teague
Assistant Vice President, Secretary
6159207000
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