# AT HOME SENIOR CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104212802
- **Authorized official:** RUBIE WILLIAMS RN (RN SUPERVISOR)
- **Authorized official phone:** (803) 801-0611

## Contact information

- **Practice address:** 1700 MAIN ST, NEWBERRY, SC 29108-3548
- **Practice address phone:** (803) 801-0611
- **Practice address fax:** (803) 753-9391
- **Mailing address:** 1700 MAIN ST, NEWBERRY, SC 29108-3548
- **Mailing address phone:** (803) 801-0611
- **Mailing address fax:** (803) 753-9391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 92255 | SC | Yes |

## Other

- **Enumeration date:** 04/09/2015
- **Last updated:** 04/09/2015