MEDICARE: AT HOME WITH A VIEW LLC DBA RIGHT AT HOME

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	251E00000X	Home Health Agency	IHCP-0105	SC

General Provider Information

NPI Number	:	1902285810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AT HOME WITH A VIEW LLC DBA RIGHT AT HOME

Provider Business Mailing Address
First Line	:	2424 INDIA HOOK
Second Line	:	SUITE 130
City	:	ROCK HILL
State	:	SC
Zip	:	29732
Country	:	US
Telephone Number	:	803-980-4663
Fax Number	:

Provider Business Practice Location Address
First Line	:	2424 INDIA HOOK RD
Second Line	:	SUITE 130
City	:	ROCK HILL
State	:	SC
Zip	:	29732-2784
Country	:	US
Telephone Number	:	803-980-4663
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. DIANE BOBBITT
Credential	:
Telephone Number	:	803-980-4663

Provider Enumeration Date	:	05/26/2015
Last Update Date	:	05/26/2015

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