Healthcare Provider Details

I. General information

NPI: 1306135975
Provider Name (Legal Business Name): AFTERCARE MEDICAL EQUIPMENT & SUPPLIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2011
Last Update Date: 04/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 ROSS ST
ELGIN SC
29045
US

IV. Provider business mailing address

316 S CONGRESS ST
WINNSBORO SC
29180-1404
US

V. Phone/Fax

Practice location:
  • Phone: 803-438-5732
  • Fax: 803-438-4657
Mailing address:
  • Phone: 803-635-7729
  • Fax: 803-635-7400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number10753
License Number StateSC

VIII. Authorized Official

Name: MR. TONY CASEY
Title or Position: PRESIDENT
Credential:
Phone: 803-635-7729