MEDICARE: ABSOLUTE JOY HOME CARE

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1790538098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSOLUTE JOY HOME CARE

Provider Business Mailing Address
First Line	:	671 RAPIDS RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29212-3024
Country	:	US
Telephone Number	:	803-917-0696
Fax Number	:

Provider Business Practice Location Address
First Line	:	671 RAPIDS RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29212-3024
Country	:	US
Telephone Number	:	803-917-0696
Fax Number	:

Authorized Official
Title or Position	:	ORGANIZER
Name	:	AUDREY GRAHAM
Credential	:	LPN
Telephone Number	:	803-917-0696

Provider Enumeration Date	:	04/08/2024
Last Update Date	:	04/08/2024

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