MEDICARE: ELDERCHOICE GERIATRIC CONSULTING SVS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency		SC

General Provider Information

NPI Number	:	1255582326
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELDERCHOICE GERIATRIC CONSULTING SVS

Provider Business Mailing Address
First Line	:	727 PEPPERBUSH DR
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29579-4163
Country	:	US
Telephone Number	:	843-333-1563
Fax Number	:

Provider Business Practice Location Address
First Line	:	727 PEPPERBUSH DR
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29579-4163
Country	:	US
Telephone Number	:	843-333-1563
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. VICTORIA TERESA CAREY
Credential	:	LISW-CP
Telephone Number	:	843-333-1363

Provider Enumeration Date	:	10/07/2008
Last Update Date	:	04/15/2020

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Directions to “ELDERCHOICE GERIATRIC CONSULTING SVS ” Practice Location

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