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Shantilal LLC

In Home Supportive Care in Conway, SC. Organization (NPI-2).

NPI number1164070611
StatusActive
Last updated in NPPESAug 28, 2019

Details

NPI
1164070611
Entity type
Organization (NPI-2)
Legal business name
Shantilal LLC
Organization subpart
No
Enumeration date
Aug 28, 2019
Last updated
Aug 28, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

3415 Highway 701 N Unit B
Conway, SC 29526-5735

Phone 864-279-5967

Mailing address

2408 Westbrook Dr
Conway, SC 29527-3150

Authorized official

Mansi Patel
Owner
8642795967

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