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Organization
MEDIHEALTH
Active
Organization
MEDIHEALTH
Active
Other names
MEDIRIDES
Organization subpart
No
Provider details
NPI number
Authorized official
RONDU KING JACKSON (CEO)
(843) 543-2444
Entity
Organization
Contact information
Practice address
1320 HIGHWAY 501 BUSINESS UNIT B, CONWAY, SC 29526-9547
(843) 543-2444
Mailing address
1320 HIGHWAY 501 BUSINESS UNIT B, CONWAY, SC 29526-9547
(843) 543-2444
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
163W00000X
Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/24/2026
Last updated
09/24/2026
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