Organization
A NEW LEAF HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVER GREEN (PRESIDENT)
(803) 618-3166
Entity
Organization
Contact information
Practice address
120 ACADEMY ST STE 102-099, FORT MILL, SC 29715-1838
(803) 618-3166
Mailing address
120 ACADEMY ST STE 102-099, FORT MILL, SC 29715-1838
(803) 618-3166
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/07/2023
Last updated
09/07/2023
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