MEDICARE: DAVID PATRICK HANLEY

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	251E00000X	Home Health Agency	IHCP-0833	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	82-2829953	OTHER		FE-IN

General Provider Information

NPI Number	:	1518437110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID PATRICK HANLEY

Provider Business Mailing Address
First Line	:	10698 OCEAN HIGHWAY
Second Line	:	SUITE 100
City	:	PAWLEYS ISLAND
State	:	SC
Zip	:	29585
Country	:	US
Telephone Number	:	843-979-3273
Fax Number	:	843-979-3275

Provider Business Practice Location Address
First Line	:	10698 OCEAN HIGHWAY
Second Line	:	SUITE 100
City	:	PAWLEYS ISLAND
State	:	SC
Zip	:	29585
Country	:	US
Telephone Number	:	843-979-3273
Fax Number	:	843-979-3275

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

Provider Enumeration Date	:	11/27/2018
Last Update Date	:	03/15/2026

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Directions to “ DAVID PATRICK HANLEY ” Practice Location

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