Organization
HEDGEMARK BRENTWOOD MEDICAL SERVICES, INC.-DBA PHC HOME HEALTH
Active
Other names
PHC Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLEN S. DURRENCE R.PH. (V-PRESIDENT)
(843) 762-3601
Entity
Organization
Contact information
Practice address
408 FOLLY ROAD, CHARLESTON, SC 29412
(843) 762-3601
(843) 762-7074
Mailing address
1548 ASHLEY RIVER ROAD SUITE B, CHARLESTON, SC 29407
(843) 762-3601
(843) 762-7074
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA-084
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470555
—
SC
Enumeration date
01/19/2006
Last updated
03/03/2022
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