Individual
MR. IAN R SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2788 SC HIGHWAY 37, WILLISTON, SC 29853-4429
(803) 310-7560
Mailing address
PO BOX 671, ALLENDALE, SC 29810-0671
(803) 716-0727
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
SC
253Z00000X
In Home Supportive Care Agency
Primary
—
SC
Other
Enumeration date
12/07/2015
Last updated
07/21/2021
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