Organization
MY FATHERS TOUCH IN HOME CARE LLC
Active
Other names
My Fathers Touch In Home Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MAVIS L MANIGAULT MEDICAL ASSISTANT (OWNER)
(843) 530-2411
Entity
Organization
Contact information
Practice address
1253 DICKSON AVE STE 109, HANAHAN, SC 29410-2853
(843) 779-4037
(843) 608-7371
Mailing address
1253 DICKSON AVE STE 109, HANAHAN, SC 29410-2853
(843) 779-4037
(843) 608-4037
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
12/02/2021
Last updated
11/22/2024
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