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Organization
HOME CARE PROFESSIONALS
Active
Organization
HOME CARE PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN STALLWORTH (VICE PRESIDENT)
(803) 448-1969
Entity
Organization
Contact information
Practice address
339 E MAIN ST, SUITE 203, ROCK HILL, SC 29730-5367
(803) 448-1969
(803) 746-7748
Mailing address
2502 ALBATROSS LN, MATTHEWS, NC 28104-3430
(803) 448-1969
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
333300000X
Emergency Response System Companies
—
NULL
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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