MEDICARE: DUKE MILESTONE INVESTMENTS, 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-0655	SC

General Provider Information

NPI Number	:	1578004388
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DUKE MILESTONE INVESTMENTS, INC

Provider Business Mailing Address
First Line	:	3294 ASHLEY PHOSPHATE RD
Second Line	:	SUITE 1B
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29418-8465
Country	:	US
Telephone Number	:	843-872-9534
Fax Number	:	843-885-9513

Provider Business Practice Location Address
First Line	:	3294 ASHLEY PHOSPHATE RD
Second Line	:	SUITE 1B
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29418-8465
Country	:	US
Telephone Number	:	843-872-9534
Fax Number	:	843-885-9513

Authorized Official
Title or Position	:	AGENCY DIRECTOR/OWNER
Name	:	MR. CHRISTOPHER DUKE
Credential	:
Telephone Number	:	843-872-9534

Provider Enumeration Date	:	03/13/2017
Last Update Date	:	03/13/2017

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