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Organization
BEACON HOME CARE SERVICES, LLC
Active
Organization
BEACON HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAFARA DOZIER DOUGLAS PA-C (OWNER)
(843) 382-3052
Entity
Organization
Contact information
Practice address
392 MCCLAM RD, CADES, SC 29518-3302
(843) 382-3052
(843) 382-3053
Mailing address
392 MCCLAM RD, CADES, SC 29518-3302
(843) 382-3052
(843) 382-3053
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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