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Organization
ALTERNATIVE HOME CARE
Active
Organization
ALTERNATIVE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKITA SHAUNTA BLAKENEY (OWNER)
(704) 756-7248
Entity
Organization
Contact information
Practice address
736 ROCK CASTLE DR, YORK, SC 29745-1666
(803) 746-7189
Mailing address
736 ROCK CASTLE DR, YORK, SC 29745-1666
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
320700000X
Physical Disabilities Residential Treatment Facility
—
NULL
332U00000X
Home Delivered Meals
—
NULL
347B00000X
Bus
—
NULL
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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