MEDICARE: NEWWAY CENTER LLC

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

General Provider Information

NPI Number	:	1811631625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWWAY CENTER LLC

Provider Business Mailing Address
First Line	:	410 DURANT DR
Second Line	:
City	:	LAKE CITY
State	:	SC
Zip	:	29560-3350
Country	:	US
Telephone Number	:	843-939-1996
Fax Number	:

Provider Business Practice Location Address
First Line	:	3658 S IRBY ST
Second Line	:
City	:	FLORENCE
State	:	SC
Zip	:	29505-5225
Country	:	US
Telephone Number	:	843-939-1996
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RROGER MCCREA
Credential	:
Telephone Number	:	184-393-1996

Provider Enumeration Date	:	04/27/2022
Last Update Date	:	04/27/2022

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Directions to “NEWWAY CENTER LLC ” Practice Location

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