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Organization
CHARBELLA
Active
Organization
CHARBELLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHONDA WYCHE (OWNER)
(803) 250-7569
Entity
Organization
Contact information
Practice address
834 HEARTLEAF DR, COLUMBIA, SC 29229-6902
(803) 250-7569
Mailing address
834 HEARTLEAF DR, COLUMBIA, SC 29229-6902
(803) 250-7569
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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