# SHADES OF LIFE LLC

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

## Provider details

- **NPI number:** 1912370214
- **Authorized official:** MR. RODNEY TATE BROWN (PRESIDENT)
- **Authorized official phone:** (803) 609-0757

## Contact information

- **Practice address:** 1400 LAUREL ST SUITE 2, COLUMBIA, SC 29201
- **Practice address phone:** (803) 609-0757
- **Mailing address:** 1400 LAUREL ST STE 2, COLUMBIA, SC 29201-2546
- **Mailing address phone:** (803) 609-0757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | IHCP-0295 | SC | Yes |

## Other

- **Enumeration date:** 11/09/2015
- **Last updated:** 11/09/2015