MEDICARE: PRAYING HANDS HOME CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1376115097
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRAYING HANDS HOME CARE

Provider Business Mailing Address
First Line	:	26 OFFICE PARK CT
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29223-5954
Country	:	US
Telephone Number	:	803-667-9563
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 OFFICE PARK CT
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29223-5954
Country	:	US
Telephone Number	:	803-667-9563
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	QUANISHA CORLEY
Credential	:
Telephone Number	:	803-999-8048

Provider Enumeration Date	:	07/13/2021
Last Update Date	:	09/15/2021

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Directions to “PRAYING HANDS HOME CARE ” Practice Location

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