Healthcare Provider Details

I. General information

NPI: 1841036969
Provider Name (Legal Business Name): SAO CARE ENTERPRISES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2024
Last Update Date: 07/08/2024
Certification Date: 07/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1252 OVERBROOK DR STE 7A
GAFFNEY SC
29341-1057
US

IV. Provider business mailing address

1252 OVERBROOK DR STE 7A
GAFFNEY SC
29341-1057
US

V. Phone/Fax

Practice location:
  • Phone: 864-491-8072
  • Fax:
Mailing address:
  • Phone: 864-491-8072
  • 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: MR. STANLEY RICHARD YEARGIN JR.
Title or Position: OWNER
Credential: RN
Phone: 864-491-8072