# RAVANT SENIOR CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ravant Lab Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417627894
- **Authorized official:** STEFANIE R. GIFFORD (DIRECTOR)
- **Authorized official phone:** (843) 263-3701

## Contact information

- **Practice address:** 1 WINDSOR CV STE 106, COLUMBIA, SC 29223-1833
- **Practice address phone:** (803) 761-9010
- **Practice address fax:** (803) 764-4650
- **Mailing address:** 1 WINDSOR CV STE 106, COLUMBIA, SC 29223-1833
- **Mailing address phone:** (803) 761-9010
- **Mailing address fax:** (803) 764-4650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 09/16/2021
- **Last updated:** 05/05/2025