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Organization
BEVID SENIOR CARE LLC
Active
Organization
BEVID SENIOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR DANIELS (PRESIDENT)
(864) 266-3176
Entity
Organization
Contact information
Practice address
746 OLD SPARTANBURG HWY, WELLFORD, SC 29385-9668
(864) 249-0577
(864) 249-0727
Mailing address
746 OLD SPARTANBURG HWY, WELLFORD, SC 29385-9668
(864) 266-3176
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
NULL
183500000X
Pharmacist
—
—
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
310400000X
Assisted Living Facility
—
NULL
332U00000X
Home Delivered Meals
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7Z1183
—
SC
Enumeration date
10/29/2021
Last updated
03/01/2022
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