# KERSHAW HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KERSHAWHEALTH HOME HEALTH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093705121
- **Authorized official:** KATHY J. TEAGUE (ASSISTANT VICE PRESIDENT, SECRETARY)
- **Authorized official phone:** (615) 920-7000

## Contact information

- **Practice address:** 1165 HIGHWAY 1 S, LUGOFF, SC 29078-8966
- **Practice address phone:** (803) 425-1182
- **Mailing address:** 1165 HIGHWAY 1 S, LUGOFF, SC 29078-8966
- **Mailing address phone:** (803) 425-1182
- **Mailing address fax:** (803) 432-6351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HHA-0321 | SC | Yes |

## Other

- **Enumeration date:** 10/28/2005
- **Last updated:** 03/12/2021