Organization
COMMUNITY CHOICE MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FAIRLYN BASDEN LPN (ADMINISTRATOR)
(843) 345-3130
Entity
Organization
Contact information
Practice address
3236 LANDMARK DR, 109, NORTH CHARLESTON, SC 29418-8488
(843) 225-6789
(843) 225-6789
Mailing address
3236 LANDMARK DR, 109, NORTH CHARLESTON, SC 29418-8488
(843) 225-6789
(843) 225-6789
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
SC
Other
Enumeration date
12/30/2008
Last updated
12/30/2008
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