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NPI Code Detail

MEDICARE: EXPRESS HOME CARE SUPPLY DELIVERY

MEDICARE: EXPRESS HOME CARE SUPPLY DELIVERY
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
1332B00000XDurable Medical Equipment & Medical SuppliesSC

General Provider Information

NPI Number : 1982036844
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXPRESS HOME CARE SUPPLY DELIVERY
Provider Business Mailing Address
First Line : 405 E 1ST AVE STE D
Second Line :
City : EASLEY
State : SC
Zip : 29640-3062
Country : US
Telephone Number : 864-201-5773
Fax Number :
Provider Business Practice Location Address
First Line : 405 E 1ST AVE STE D
Second Line :
City : EASLEY
State : SC
Zip : 29640-3062
Country : US
Telephone Number : 864-201-5773
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. VANESSA A. MASON
Credential : RN
Telephone Number : 864-201-5773
Provider Enumeration Date : 08/02/2013
Last Update Date : 08/02/2013

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Directions to “EXPRESS HOME CARE SUPPLY DELIVERY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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