Healthcare Provider Details

I. General information

NPI: 1487798112
Provider Name (Legal Business Name): TOTAL COMFORT ADC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 08/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 HWY 52 SUITE 1
MONCK CORNER SC
29461
US

IV. Provider business mailing address

1706 CAMDEN RD
HOLLY HILL SC
29059
US

V. Phone/Fax

Practice location:
  • Phone: 843-761-8880
  • Fax: 843-761-8850
Mailing address:
  • Phone: 803-496-1076
  • Fax: 803-492-7926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. RONALD BRADSHAW
Title or Position: OWNER
Credential:
Phone: 803-496-1076