Healthcare Provider Details

I. General information

NPI: 1700796968
Provider Name (Legal Business Name): SEASIDE HOME SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 HIGHWAY 17 N UNIT 14672
SURFSIDE BEACH SC
29587-0529
US

IV. Provider business mailing address

PO BOX 14672
SURFSIDE BEACH SC
29587-4672
US

V. Phone/Fax

Practice location:
  • Phone: 843-983-5113
  • Fax:
Mailing address:
  • Phone: 843-983-5113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE LOUISE JONES
Title or Position: OFFICE MANAGER
Credential:
Phone: 843-983-5113