Individual
ANGELA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 READ ST STE I11E, COLUMBIA, SC 29204-7861
(803) 830-9136
Mailing address
2601 READ ST STE I11E, COLUMBIA, SC 29204-7861
(803) 830-9136
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IHCP-2180
SC
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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