# HEDGEMARK BRENTWOOD MEDICAL SERVICES, INC.-DBA PHC HOME HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PHC Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023098712
- **Authorized official:** MRS. ELLEN S. DURRENCE R.PH. (V-PRESIDENT)
- **Authorized official phone:** (843) 762-3601

## Contact information

- **Practice address:** 408 FOLLY ROAD, CHARLESTON, SC 29412
- **Practice address phone:** (843) 762-3601
- **Practice address fax:** (843) 762-7074
- **Mailing address:** 1548 ASHLEY RIVER ROAD SUITE B, CHARLESTON, SC 29407
- **Mailing address phone:** (843) 762-3601
- **Mailing address fax:** (843) 762-7074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HHA-084 | SC | Yes |

## Other

- **Enumeration date:** 01/19/2006
- **Last updated:** 03/03/2022
