# PALMETTO HOME CARE UPSTATE, LLC

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

## Provider details

- **NPI number:** 1609055037
- **Authorized official:** MR. VICTOR AUSTIN JR. (PRESIDENT/OWNER)
- **Authorized official phone:** (864) 272-1973

## Contact information

- **Practice address:** 1990 AUGUSTA ST, SUITE 204, GREENVILLE, SC 29605-2997
- **Practice address phone:** (864) 272-1973
- **Practice address fax:** (864) 272-1974
- **Mailing address:** 1990 AUGUSTA ST, SUITE 204, GREENVILLE, SC 29605-2997
- **Mailing address phone:** (864) 272-1973
- **Mailing address fax:** (864) 272-1974

## Taxonomy

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

## Other

- **Enumeration date:** 11/01/2007
- **Last updated:** 11/01/2007