Healthcare Provider Details

I. General information

NPI: 1710842174
Provider Name (Legal Business Name): PURE CARE PROVIDERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1403 HIGHWAY 301 N
DILLON SC
29536-2165
US

IV. Provider business mailing address

1443 PLUM ST
DILLON SC
29536-4627
US

V. Phone/Fax

Practice location:
  • Phone: 843-473-4854
  • Fax:
Mailing address:
  • Phone: 843-506-5024
  • Fax:

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: ANGELA KNOWLIN
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 843-506-5024