Healthcare Provider Details

I. General information

NPI: 1316293707
Provider Name (Legal Business Name): FIRST 2 CALL HOME CARE SUPPLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2012
Last Update Date: 08/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 E 1ST AVE STE D
EASLEY SC
29640-3062
US

IV. Provider business mailing address

405 E 1ST AVE STE D
EASLEY SC
29640-3062
US

V. Phone/Fax

Practice location:
  • Phone: 864-644-8429
  • Fax: 864-644-8428
Mailing address:
  • Phone: 864-644-8429
  • Fax: 864-644-8428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MRS. VANESSA MASON
Title or Position: OWNER/MEMBER
Credential: RN
Phone: 864-644-8429