Healthcare Provider Details

I. General information

NPI: 1952349094
Provider Name (Legal Business Name): FLORENCE HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 01/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 E CEDAR ST
FLORENCE SC
29506-2576
US

IV. Provider business mailing address

121 E CEDAR ST
FLORENCE SC
29506-2576
US

V. Phone/Fax

Practice location:
  • Phone: 843-629-6800
  • Fax: 843-629-6870
Mailing address:
  • Phone: 843-629-6800
  • Fax: 843-629-6870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License NumberHPC-040
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License NumberHPC-040
License Number StateSC

VIII. Authorized Official

Name: LAURIE HOLTSFORD
Title or Position: DIRECTOR, BUSINESS OFFICE SERVICES
Credential:
Phone: 615-465-7466