Organization
HSSC HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE BLUE (CEO)
(864) 979-0846
Entity
Organization
Contact information
Practice address
25 WOODS LAKE RD STE 408, GREENVILLE, SC 29607-2763
(864) 979-0846
Mailing address
PO BOX 26534, GREENVILLE, SC 29616-1534
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
IHCP-0652
SC
253Z00000X
In Home Supportive Care Agency
Primary
IHCP-0652
SC
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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