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Organization
OM GROUP OF COMPANIES
Active
Organization
OM GROUP OF COMPANIES
Active
Other names
WE CARE HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRUTIKA SHAH (OWNER)
(843) 488-2972
Entity
Organization
Contact information
Practice address
800 LEGION ST, SUITE 101B, CONWAY, SC 29526-4825
(843) 488-2972
(843) 488-2973
Mailing address
800 LEGION ST, SUITE 101B, CONWAY, SC 29526-4825
(843) 488-2972
(843) 488-2973
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHCP-0122
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EX1403
SCDHHS COMMUNITY LONG TERM CARE PROVIDER
SC
Enumeration date
07/19/2016
Last updated
07/19/2016
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