MEDICARE: DISHEKA S TONEY

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	IHCP-2512	SC

General Provider Information

NPI Number	:	1477448785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DISHEKA S TONEY

Provider Business Mailing Address
First Line	:	1717 GERVAIS ST # 211
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29201-3415
Country	:	US
Telephone Number	:	803-457-1501
Fax Number	:

Provider Business Practice Location Address
First Line	:	1717 GERVAIS ST # 211
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29201-3415
Country	:	US
Telephone Number	:	803-457-1501
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2025
Last Update Date	:	06/09/2025

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Directions to “ DISHEKA S TONEY ” Practice Location

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