# JIREH HEALTHCARE

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

## Provider details

- **NPI number:** 1598145989
- **Authorized official:** MR. MITCHELL ANTONY POUNCY SR. (OWNER)
- **Authorized official phone:** (843) 439-6227

## Contact information

- **Practice address:** 159 DANIELS LN, BENNETTSVILLE, SC 29512-8252
- **Practice address phone:** (843) 439-6227
- **Mailing address:** PO BOX 1646, BENNETTSVILLE, SC 29512-1646
- **Mailing address phone:** (843) 439-6227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 0000011421 | SC | Yes |

## Other

- **Enumeration date:** 06/01/2015
- **Last updated:** 06/01/2015
