Organization
AFFECTIONATELY DEVOTED HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANYEL GIBSON (CEO)
(888) 304-2344
Entity
Organization
Contact information
Practice address
2411 N OAK ST STE 205F, MYRTLE BEACH, SC 29577-3164
(888) 304-2344
(888) 304-2344
Mailing address
2411 N OAK ST STE 205F, MYRTLE BEACH, SC 29577-3164
(888) 304-2344
(888) 304-2344
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332U00000X
Home Delivered Meals
—
—
Other
Enumeration date
03/14/2026
Last updated
03/14/2026
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