A Village Home Care LLC
In Home Supportive Care in Orangeburg, SC. Organization (NPI-2).
NPI number1164040788
StatusActive
Last updated in NPPESJul 9, 2020
Details
- NPI
- 1164040788
- Entity type
- Organization (NPI-2)
- Legal business name
- A Village Home Care LLC
- Organization subpart
- No
- Enumeration date
- Jul 9, 2020
- Certification date
- Jul 9, 2020
- Last updated
- Jul 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
1408 Russell St Ste 15Orangeburg, SC 29115-6071
Phone 804-937-5841 · Fax 803-937-6436
Mailing address
1408 Russell St Ste 15Orangeburg, SC 29115-6071
Phone 804-937-5841 · Fax 803-937-6436
Authorized official
Loretta W Green
Owner/Ceo
8039375841
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