Organization
ALLEXA HOME HEALTHCARE & CONCIERGE SERVICES
Active
Other names
Allexa of Myrtle Beach, Allexa of SC-Myrtle Beach, Allexa MedLab of Myrtle Beach
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA BROOKS (CHIEF EXECUTIVE OFFICER)
(843) 999-0299
Entity
Organization
Contact information
Practice address
414 GARRON CT, MYRTLE BEACH, SC 29579-4197
(843) 999-0299
Mailing address
414 GARRON CT, MYRTLE BEACH, SC 29579-4197
(843) 999-0299
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
SC
251F00000X
Home Infusion Agency
—
SC
251J00000X
Nursing Care Agency
—
SC
253Z00000X
In Home Supportive Care Agency
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42D2177990
CLIA
SC
Enumeration date
03/12/2018
Last updated
11/19/2020
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