Healthcare Provider Details

I. General information

NPI: 1841622347
Provider Name (Legal Business Name): FLORENCE HEALTH CARE HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2013
Last Update Date: 08/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 S. MCQUEEN ST SUITE C
FLORENCE SC
29504-2021
US

IV. Provider business mailing address

PO BOX 12021
FLORENCE SC
29504-2021
US

V. Phone/Fax

Practice location:
  • Phone: 843-687-9640
  • Fax:
Mailing address:
  • Phone: 843-687-9640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number158117E
License Number StateSC

VIII. Authorized Official

Name: LINDA BROWN
Title or Position: ADMIN
Credential:
Phone: 843-687-9640