# LILYS IN HOME CARE

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

## Provider details

- **NPI number:** 1629540562
- **Authorized official:** MS. CASSANDRA MUHAMMAD (OWNER)
- **Authorized official phone:** (843) 200-7436

## Contact information

- **Practice address:** 1567 S MAIN ST, DARLINGTON, SC 29532-7731
- **Practice address phone:** (843) 200-7436
- **Mailing address:** 323 CORNIELLE LN, CHARLOTTE, NC 28216-3471
- **Mailing address phone:** (843) 200-7436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |

## Other

- **Enumeration date:** 12/17/2018
- **Last updated:** 12/17/2018