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Organization
HEALTHCARE ETC, LLC
Active
Organization
HEALTHCARE ETC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALARIE SQUIREWELL (PARTNER)
(803) 708-4750
Entity
Organization
Contact information
Practice address
7340 PARKLANE RD STE 101, COLUMBIA, SC 29223-7644
(803) 708-4750
(803) 753-0160
Mailing address
7340 PARKLANE RD STE 101, COLUMBIA, SC 29223-7644
(803) 708-4750
(803) 753-0160
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE3207
—
SC
05
—
EN2052
—
SC
Enumeration date
08/21/2007
Last updated
11/27/2019
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