MEDICARE: NLR SERVICES, INC.

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-0058	SC

General Provider Information

NPI Number	:	1487996708
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NLR SERVICES, INC.

Provider Business Mailing Address
First Line	:	3800 FOREST DR STE C201
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29204-4149
Country	:	US
Telephone Number	:	803-403-1895
Fax Number	:	803-233-2774

Provider Business Practice Location Address
First Line	:	3800 FOREST DR STE C201
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29204-4149
Country	:	US
Telephone Number	:	803-403-1895
Fax Number	:	803-233-2774

Authorized Official
Title or Position	:	AGENCY OWNER
Name	:	NATHAN RHODES
Credential	:
Telephone Number	:	803-403-1895

Provider Enumeration Date	:	03/25/2013
Last Update Date	:	01/07/2020

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