# SUPPLEMENTAL HEALTH CARE

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

## Provider details

- **NPI number:** 1235569658
- **Authorized official:** MRS. HOLLY MATHIS (STAFFING MANAGER)
- **Authorized official phone:** (866) 571-2700

## Contact information

- **Practice address:** 106 PARKVIEW DR, LAURENS, SC 29360-2652
- **Practice address phone:** (864) 681-2955
- **Mailing address:** 3462 HIGHWAY 418, FOUNTAIN INN, SC 29644-4829
- **Mailing address phone:** (864) 640-9294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 6957 | SC | Yes |

## Other

- **Enumeration date:** 11/21/2013
- **Last updated:** 11/21/2013