Healthcare Provider Details

I. General information

NPI: 1295240455
Provider Name (Legal Business Name): APEX PROFESSIONAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2017
Last Update Date: 11/22/2024
Certification Date: 11/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

187 COLLINGTON WAY
GEORGETOWN SC
29440-4766
US

IV. Provider business mailing address

187 COLLINGTON WAY
GEORGETOWN SC
29440-4766
US

V. Phone/Fax

Practice location:
  • Phone: 843-957-0546
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. INDRIA BROWN
Title or Position: OWNER
Credential:
Phone: 843-344-3839