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Organization
COMPANION CARE & HOSPICE ANGELS, LLC
Active
Organization
COMPANION CARE & HOSPICE ANGELS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY DEAS SMALLS (OWNER/ OFFICE ADMI)
(843) 751-7158
Entity
Organization
Contact information
Practice address
8310 TJ BLVD, ADAMS RUN, SC 29426
(843) 751-7158
(843) 603-8801
Mailing address
PO BOX 22, ADAMS RUN, SC 29426-0022
(843) 751-7158
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251K00000X
Public Health or Welfare Agency
—
NULL
251V00000X
Voluntary or Charitable Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QA0600X
Adult Day Care Clinic/Center
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QE0002X
Emergency Care Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QM2500X
Medical Specialty Clinic/Center
—
NULL
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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