Healthcare Provider Details

I. General information

NPI: 1710144274
Provider Name (Legal Business Name): BNS ENTERPRISES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2008
Last Update Date: 08/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 E MAIN ST STE 203
ROCK HILL SC
29730-5367
US

IV. Provider business mailing address

339 E MAIN ST STE 203
ROCK HILL SC
29730-5367
US

V. Phone/Fax

Practice location:
  • Phone: 803-746-7749
  • Fax:
Mailing address:
  • Phone: 803-746-7749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: MARVIN A STALLWORTH
Title or Position: PRESIDENT
Credential:
Phone: 803-746-7749