# FLORENCE COMMUNITY CARE LLC

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

## Provider details

- **NPI number:** 1417702481
- **Authorized official:** SHENAIL NICOLE MULDROW (DIRECTOR)
- **Authorized official phone:** (843) 617-6726

## Contact information

- **Practice address:** 1627 S IRBY ST STE C, FLORENCE, SC 29505-3447
- **Practice address phone:** (843) 665-9192
- **Practice address fax:** (843) 665-9320
- **Mailing address:** PO BOX 12118, FLORENCE, SC 29504-2118
- **Mailing address phone:** (843) 617-6726
- **Mailing address fax:** (843) 665-9320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/22/2024
- **Last updated:** 05/01/2024