Healthcare Provider Details

I. General information

NPI: 1447238225
Provider Name (Legal Business Name): PRIORITY ONE HOME HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 02/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

533 CHERAW ST
BENNETTSVILLE SC
29512-2841
US

IV. Provider business mailing address

533 CHERAW ST PO BOX 946
BENNETTSVILLE SC
29512-2841
US

V. Phone/Fax

Practice location:
  • Phone: 843-479-2597
  • Fax: 843-479-5570
Mailing address:
  • Phone: 843-479-2597
  • Fax: 843-479-5570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. TRINA LONG SPEIGHT
Title or Position: OWNER/ADMINISTRATION
Credential:
Phone: 843-439-2493