# DEVOTED CARE AND TRANSITION SERVICES-HOSPICE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** N/A
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710356464
- **Authorized official:** MRS. KIMBALE LANETTE MACK (OWNER)
- **Authorized official phone:** (803) 764-1163

## Contact information

- **Practice address:** 429 SPRING OAK LN, COLUMBIA, SC 29229-7165
- **Practice address phone:** (803) 764-1163
- **Practice address fax:** (803) 764-1164
- **Mailing address:** 429 SPRING OAK LN, COLUMBIA, SC 29229-7165
- **Mailing address phone:** (803) 764-1163
- **Mailing address fax:** (803) 764-1164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 09/23/2015
- **Last updated:** 09/23/2015