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Organization

C & AW LIMITED LIABILITY COMPANY

Active
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Organization

C & AW LIMITED LIABILITY COMPANY

Active
Other names
Grace Home Care & Behavioral Service
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA LORRAINE WILLIAMS (ADMINISTRATOR)
(803) 719-0292
Entity
Organization

Contact information

Practice address
3508 SIDNEY RD., COLUMBIA, SC 29210-4437
(803) 719-0292
Mailing address
1312 CEDAR CREEK RD., BLYTHEWOOD, SC 29016-8655
(803) 719-0292

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—

Other

Enumeration date
01/21/2012
Last updated
02/01/2012
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