Organization
NEBO HANDS OF SERENITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES LEON NEBO (OWNER)
(864) 417-4920
Entity
Organization
Contact information
Practice address
110 S BLACKSTOCK RD, SPARTANBURG, SC 29301-2556
(864) 417-4920
Mailing address
110 S BLACKSTOCK RD, SPARTANBURG, SC 29301-2556
(864) 417-4920
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
W91583SC1
—
SC
Enumeration date
05/13/2022
Last updated
05/13/2022
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