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Organization
CAROLINA HOMECARE MED EQ CTR INC
Active
Organization
CAROLINA HOMECARE MED EQ CTR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE BOLT (OWNER)
(864) 271-8258
Entity
Organization
Contact information
Practice address
1136 GROVE RD, GREENVILLE, SC 29605-4620
(864) 271-8258
(864) 235-0523
Mailing address
1136 GROVE RD, GREENVILLE, SC 29605-4620
(864) 271-8258
(864) 235-0523
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
SC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
SC
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
SC
Other
Enumeration date
08/02/2006
Last updated
03/21/2008
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