# SCC HOME HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1255174611
- **Authorized official:** KIMBERLY A COUSAR (OWNER)
- **Authorized official phone:** (443) 735-8758

## Contact information

- **Practice address:** 425 OXFORD ST, POCOMOKE CITY, MD 21851-1155
- **Practice address phone:** (443) 735-8758
- **Mailing address:** 425 OXFORD ST, POCOMOKE CITY, MD 21851-1155
- **Mailing address phone:** (443) 735-8758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 376K00000X | Nurse's Aide | — | NULL | Yes |
| 376K00000X | Nurse's Aide | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2024
- **Last updated:** 06/14/2024