Individual
TINA L. PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 GERVAIS ST STE 204, COLUMBIA, SC 29201-3415
(803) 401-5137
Mailing address
97 SUMMIT RIDGE CIR, COLUMBIA, SC 29229-7148
(803) 556-1992
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHCP-1870
SC
311ZA0620X
Adult Care Home Facility
IHCP-1870
SC
343900000X
Non-emergency Medical Transport (VAN)
IHCP-1870
SC
347C00000X
Private Vehicle
IHCP-1870
SC
372500000X
Chore Provider
IHCP-1870
SC
3747A0650X
Attendant Care Provider
IHCP-1870
SC
374U00000X
Home Health Aide
IHCP-1870
SC
376J00000X
Homemaker
IHCP-1870
SC
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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