Healthcare Provider Details

I. General information

NPI: 1659598514
Provider Name (Legal Business Name): HORIZON HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7481 NORTHSIDE DR STE C
NORTH CHARLESTON SC
29420-4282
US

IV. Provider business mailing address

7481 NORTHSIDE DR STE C
NORTH CHARLESTON SC
29420-4282
US

V. Phone/Fax

Practice location:
  • Phone: 843-569-7373
  • Fax:
Mailing address:
  • Phone: 843-569-7373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN FISCHER
Title or Position: VP OPERATIONS
Credential:
Phone: 843-569-7373