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Organization
CHARRM LLC
Active
Organization
CHARRM LLC
Active
Other names
CHARRM Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LYNN KATIO RN (ADMINISTRATOR/OWNER)
(803) 546-8616
Entity
Organization
Contact information
Practice address
4423 DEVINE ST STE E, COLUMBIA, SC 29205-3611
(803) 995-6872
Mailing address
328 ASH TREE RD, COLUMBIA, SC 29229-9386
(803) 546-8616
(803) 834-4005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX1902
—
SC
Enumeration date
10/15/2019
Last updated
02/01/2022
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