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NPI Code Detail

MEDICARE: CORE MANAGEMENT GROUP LLC

MEDICARE: CORE MANAGEMENT GROUP 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
1251B00000XCase Management Agency
2251C00000XDevelopmentally Disabled Services Day Training Agency
3251E00000XHome Health Agency
4253Z00000XIn Home Supportive Care Agency
5261QA0600XAdult Day Care Clinic/Center
6310400000XAssisted Living Facility
7385H00000XRespite Care
8385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care
9251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1912852260
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORE MANAGEMENT GROUP LLC
Provider Business Mailing Address
First Line : 106 N MACARTHUR AVE
Second Line :
City : DILLON
State : SC
Zip : 29536-3434
Country : US
Telephone Number : 843-845-1894
Fax Number :
Provider Business Practice Location Address
First Line : 106 N MACARTHUR AVE
Second Line :
City : DILLON
State : SC
Zip : 29536-3434
Country : US
Telephone Number : 843-845-1894
Fax Number :
Authorized Official
Title or Position : CEO/OWNER
Name : SHEKETTA DAVIS
Credential :
Telephone Number : 843-845-1894
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “CORE MANAGEMENT GROUP LLC ” Practice Location

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