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Organization
NIX JUSTINE GRACIE CORP,
Active
Organization
NIX JUSTINE GRACIE CORP,
Active
Other names
DBA Comfort Keepers 988
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA LEE NIX CSA (ADMINISTRATOR/PRESIDENT)
(843) 576-3035
Entity
Organization
Contact information
Practice address
1710 OLD TROLLEY RD, SUITE D, SUMMERVILLE, SC 29485-8281
(843) 576-3035
Mailing address
1710 OLD TROLLEY RD, SUITE D, SUMMERVILLE, SC 29485-8281
(843) 576-3035
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IHCP0576
SC
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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