Healthcare Provider Details

I. General information

NPI: 1306631312
Provider Name (Legal Business Name): DANIELLE MARIE SAVAGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2025
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 LAUREL ST STE 405
COLUMBIA SC
29201-5830
US

IV. Provider business mailing address

1225 LAUREL ST STE 405
COLUMBIA SC
29201-5830
US

V. Phone/Fax

Practice location:
  • Phone: 803-361-9915
  • Fax:
Mailing address:
  • Phone: 803-361-9915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number276948
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: