Healthcare Provider Details

I. General information

NPI: 1568389393
Provider Name (Legal Business Name): B&B VETERAN HOMES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

937 MARSHFIELD CIR
MYRTLE BEACH SC
29579-9490
US

IV. Provider business mailing address

937 MARSHFIELD CIR
MYRTLE BEACH SC
29579-9490
US

V. Phone/Fax

Practice location:
  • Phone: 718-973-1267
  • Fax:
Mailing address:
  • Phone: 718-973-1267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: KEYONNA MICHIE
Title or Position: CEO
Credential:
Phone: 718-973-1267