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Organization
AT YOUR SERVICE HOME CARE
Active
Organization
AT YOUR SERVICE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY J REED (OWNER)
(803) 607-9677
Entity
Organization
Contact information
Practice address
1250 WILSON HALL RD, SUMTER, SC 29150-1889
(803) 607-9677
(888) 686-2571
Mailing address
1250 WILSON HALL RD, SUMTER, SC 29150-1889
(803) 607-9677
(888) 686-2571
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHCP-0135
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EX1401
MEDICAID CLTC PROVIDER NUMBER
SC
Enumeration date
07/18/2016
Last updated
07/18/2016
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