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Organization
MY FATHERS TOUCH IN HOME CARE LLC
Active
Organization
MY FATHERS TOUCH IN HOME CARE LLC
Active
Other names
My Fathers Touch In Home Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MAVIS L MANIGAULT MEDICAL ASSISTANT (OWNER)
(843) 530-2411
Entity
Organization
Contact information
Practice address
1253 DICKSON AVE STE 109, HANAHAN, SC 29410-2853
(843) 779-4037
(843) 608-7371
Mailing address
1253 DICKSON AVE STE 109, HANAHAN, SC 29410-2853
(843) 779-4037
(843) 608-4037
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
385H00000X
Respite Care
—
NULL
385HR2055X
Child Mental Illness Respite Care
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
12/02/2021
Last updated
11/22/2024
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