Healthcare Provider Details

I. General information

NPI: 1295675767
Provider Name (Legal Business Name): SOUTHERN HERITAGE HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

334 ALICE CT
DILLON SC
29536-7437
US

IV. Provider business mailing address

334 ALICE CT
DILLON SC
29536-7437
US

V. Phone/Fax

Practice location:
  • Phone: 910-849-4204
  • Fax:
Mailing address:
  • Phone: 910-849-4204
  • 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: JAMES L WHEELER
Title or Position: CIO
Credential:
Phone: 910-849-4204