Organization
KERSHAW HOSPITAL LLC
Active
Other names
KERSHAWHEALTH HOSPICE
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY J. TEAGUE (ASSISTANT VICE PRESIDENT, SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
1165 HIGHWAY 1 S, LUGOFF, SC 29078-8966
(803) 425-1916
Mailing address
1165 HIGHWAY 1 S, LUGOFF, SC 29078-8966
(803) 425-1916
(803) 713-1650
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HPC-0210
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSP020
—
SC
Enumeration date
10/31/2005
Last updated
03/12/2021
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