Healthcare Provider Details

I. General information

NPI: 1487996708
Provider Name (Legal Business Name): NLR SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2013
Last Update Date: 01/07/2020
Certification Date: 01/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 FOREST DR STE C201
COLUMBIA SC
29204-4149
US

IV. Provider business mailing address

3800 FOREST DR STE C201
COLUMBIA SC
29204-4149
US

V. Phone/Fax

Practice location:
  • Phone: 803-403-1895
  • Fax: 803-233-2774
Mailing address:
  • Phone: 803-403-1895
  • Fax: 803-233-2774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberIHCP-0058
License Number StateSC

VIII. Authorized Official

Name: NATHAN RHODES
Title or Position: AGENCY OWNER
Credential:
Phone: 803-403-1895