Healthcare Provider Details

I. General information

NPI: 1770420358
Provider Name (Legal Business Name): STABILCARE PEE DEE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 EASTER LN
CADES SC
29518-3462
US

IV. Provider business mailing address

40 EASTER LN
CADES SC
29518-3462
US

V. Phone/Fax

Practice location:
  • Phone: 470-304-6163
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CYNDEE PAGE
Title or Position: OWNER
Credential: LMSW
Phone: 470-304-6163