Individual
DESTINEE SHACOLE STRONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 EMERALD RD N APT D7, GREENWOOD, SC 29646-3068
(864) 854-4505
Mailing address
310 EMERALD RD N APT D7, GREENWOOD, SC 29646-3068
(864) 854-4505
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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