Organization
LUCILLES TENDER HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA LEWIS (OWNER)
(843) 496-5233
Entity
Organization
Contact information
Practice address
215 BYRNES CIR, JOHNSONVILLE, SC 29555-6516
(843) 373-0756
Mailing address
215 BYRNES CIR, JOHNSONVILLE, SC 29555-6516
(843) 373-0756
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
09/16/2019
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