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NPI Code Detail

MEDICARE: LOWCOUNTRY COMPANIONS

MEDICARE: LOWCOUNTRY COMPANIONS
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
1253Z00000XIn Home Supportive Care Agency20040820SC

General Provider Information

NPI Number : 1417317116
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOWCOUNTRY COMPANIONS
Provider Business Mailing Address
First Line : 1459 STUART ENGALS BLVD
Second Line : #203
City : MOUNT PLEASANT
State : SC
Zip : 29464-3600
Country : US
Telephone Number : 843-856-2582
Fax Number : 843-856-2593
Provider Business Practice Location Address
First Line : 1459 STUART ENGALS BLVD
Second Line : #203
City : MOUNT PLEASANT
State : SC
Zip : 29464-3600
Country : US
Telephone Number : 843-856-2582
Fax Number : 843-856-2593
Authorized Official
Title or Position : OWNER
Name : WENDY WEISNER
Credential :
Telephone Number : 843-856-2582
Provider Enumeration Date : 02/24/2016
Last Update Date : 02/24/2016

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Directions to “LOWCOUNTRY COMPANIONS ” Practice Location

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