Organization
ADVANCE HOME CARE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE FULLARD RN (PRESIDENT)
(843) 472-5276
Entity
Organization
Contact information
Practice address
1001 WEST EVANS STREET, SUITE 101, FLORENCE, SC 29501-3388
(843) 472-5276
(843) 472-5277
Mailing address
1001 WEST EVANS STREET, SUITE 101, FLORENCE, SC 29501-3388
(843) 472-5276
(843) 472-5277
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHCP-0498
SC
Other
Enumeration date
02/15/2016
Last updated
11/02/2016
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