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NPI Code Detail

MEDICARE: SECURED CARE HOME HEALTH SERVICES OF SC INC.

MEDICARE: SECURED CARE HOME HEALTH SERVICES OF SC 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1629219977
Entity Type Code : Organization
Provider Name (Legal Business Name) : SECURED CARE HOME HEALTH SERVICES OF SC INC.
Provider Business Mailing Address
First Line : 5960 FAIRVIEW RD STE 400
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-3119
Country : US
Telephone Number : 888-651-0007
Fax Number : 888-657-1119
Provider Business Practice Location Address
First Line : 5960 FAIRVIEW RD STE 400
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-3119
Country : US
Telephone Number : 888-651-0007
Fax Number : 888-657-1119
Authorized Official
Title or Position : OWNER
Name : MRS. TAMEKA L PORTER
Credential :
Telephone Number : 888-651-0007
Provider Enumeration Date : 03/17/2009
Last Update Date : 03/17/2009

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Directions to “SECURED CARE HOME HEALTH SERVICES OF SC INC. ” Practice Location

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