Organization
PALMETTO IN HOMERN
Active
Other names
Palmetto In-HomeRN
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO L IRIZARRY MSN RN (OWNER)
(843) 637-6814
Entity
Organization
Contact information
Practice address
525 FOLLY RD STE 207, CHARLESTON, SC 29412-3008
(843) 637-6814
Mailing address
525 FOLLY RD STE 207, CHARLESTON, SC 29412-3008
(843) 637-6814
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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