# LIFE ENHANCEMENT SERVICES OF SC, LLC

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

## Provider details

- **NPI number:** 1659755684
- **Authorized official:** HERBERT GRAY (CEO OWNER)
- **Authorized official phone:** (980) 265-1064

## Contact information

- **Practice address:** 3040 E HIGHWAY 76, STE 111, MULLINS, SC 29574-7396
- **Practice address phone:** (980) 265-1064
- **Mailing address:** 9700 RESEARCH DR, STE 111, CHARLOTTE, NC 28262-8552
- **Mailing address phone:** (980) 265-1064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/20/2015
- **Last updated:** 07/20/2015