Healthcare Provider Details
I. General information
NPI: 1326488248
Provider Name (Legal Business Name): HEARTSTRINGS HOSPICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/25/2013
Last Update Date: 06/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
115 BLARNEY DR SUITE 109
COLUMBIA SC
29223-6291
US
IV. Provider business mailing address
8508 PARK RD PMB 191
CHARLOTTE NC
28210-5803
US
V. Phone/Fax
- Phone: 803-699-3233
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTOPHER
MEHALIC
Title or Position: PRESIDENT
Credential:
Phone: 803-699-3233