Healthcare Provider Details

I. General information

NPI: 1770094161
Provider Name (Legal Business Name): HEAR AGAIN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2017
Last Update Date: 11/07/2022
Certification Date: 11/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WELLNESS BLVD STE 108
IRMO SC
29063-2872
US

IV. Provider business mailing address

851 BROKEN SOUND PKWY NW STE 120
BOCA RATON FL
33487-3638
US

V. Phone/Fax

Practice location:
  • Phone: 803-765-1919
  • Fax: 803-849-8875
Mailing address:
  • Phone: 561-367-1623
  • Fax: 561-299-5438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1067
License Number StateSC

VIII. Authorized Official

Name: LEAH MANOR
Title or Position: CORPORATE INSURANCE MANAGER
Credential:
Phone: 561-367-1623