Organization
HOME CARE DIRECT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA B WIGGINS LPN (OWNER/ADMINISTRATOR)
(184) 335-8200
Entity
Organization
Contact information
Practice address
242 8TH AVE, AYNOR, SC 29511-3222
(184) 335-8200
(843) 358-2007
Mailing address
PO BOX 645, AYNOR, SC 29511-0645
(184) 335-8200
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0718
—
SC
Enumeration date
09/30/2020
Last updated
09/30/2020
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