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Organization
OPEN HEALTHCARE SKILL NURSING
Active
Organization
OPEN HEALTHCARE SKILL NURSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA GRAHAM (DIRECTOR)
(843) 939-0810
Entity
Organization
Contact information
Practice address
121 S ACLINE ST, LAKE CITY, SC 29560-2632
(843) 699-9318
Mailing address
121 S ACLINE ST, LAKE CITY, SC 29560-2632
(843) 699-9318
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
07/16/2024
Last updated
11/07/2024
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