# SELF REGIONAL HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Home Health Services of SRH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407860778
- **Authorized official:** DR. MATTHEW T LOGAN MD (PRESIDENT AND CEO)
- **Authorized official phone:** (864) 725-4253

## Contact information

- **Practice address:** 105 VINECREST CT \# 400, GREENWOOD, SC 29646-8031
- **Practice address phone:** (864) 725-7600
- **Practice address fax:** (864) 725-7638
- **Mailing address:** 1325 SPRING STREET, GREENWOOD, SC 29646
- **Mailing address phone:** (864) 725-7600
- **Mailing address fax:** (864) 725-7638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 038 | SC | — |
| 251E00000X | Home Health Agency | HHA0049 | SC | Yes |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 12/14/2021