Organization
NEW LIFE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRELL LETWAN DAVIS (MANAGER)
(803) 351-3903
Entity
Organization
Contact information
Practice address
4423 DEVINE ST STE C, COLUMBIA, SC 29205-3611
(803) 708-4088
(803) 451-0109
Mailing address
2703 TROTTER RD, HOPKINS, SC 29061-8211
(803) 708-4088
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
06/11/2021
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