# COMPANION CAREGIVER

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

## Provider details

- **NPI number:** 1780855528
- **Authorized official:** MRS. LATASHA MICHELLE PRIMUS (OWNER)
- **Authorized official phone:** (864) 277-4027

## Contact information

- **Practice address:** 1 N BEAVER LN, GREENVILLE, SC 29605-2552
- **Practice address phone:** (864) 277-4027
- **Mailing address:** 1 N BEAVER LN, GREENVILLE, SC 29605-2552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 0700024378 | SC | Yes |

## Other

- **Enumeration date:** 03/20/2008
- **Last updated:** 03/20/2008
