Organization
PROVIDED CARE IN-HOME SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS R. DOGAN (OWNER)
(864) 200-2796
Entity
Organization
Contact information
Practice address
25 WOODS LAKE RD. SUITE 410, GREENVILLE, SC 29607
(864) 200-2796
(864) 451-7665
Mailing address
25 WOODS LAKE RD. SUITE 410, GREENVILLE, SC 29607
(864) 200-2796
(864) 451-7665
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
253Z00000X
SC
Other
Enumeration date
08/11/2012
Last updated
05/19/2015
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