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Nicole McClellan

Home Health Aide in Charleston, SC. Individual provider (NPI-1).

NPI number1699488486
StatusActive
Last updated in NPPESDec 27, 2022

Details

NPI
1699488486
Entity type
Individual (NPI-1)
Name
Nicole McClellan
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 27, 2022
Certification date
Dec 24, 2022
Last updated
Dec 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes
251E00000X Home Health––

Practice location

19 Larnes St
Charleston, SC 29403-4618

Phone 843-473-5849

Mailing address

19 Larnes St
Charleston, SC 29403-4618

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Other Home Health Aide providers in Charleston, SC

All 6 Home Health Aide providers in Charleston · All 12,657 providers in Charleston

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