Organization
TIDELANDS GHS JOINT VENTURE LLC
Active
Other names
Tidelands Community Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA DOAR STALVEY (CFO)
(843) 546-3410
Entity
Organization
Contact information
Practice address
2591 N FRASER ST, GEORGETOWN, SC 29440-6411
(843) 546-3410
(843) 527-6964
Mailing address
2591 N FRASER ST, GEORGETOWN, SC 29440-6411
(843) 546-3410
(843) 527-6964
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HPC009
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSP007
—
SC
Enumeration date
11/16/2005
Last updated
11/14/2023
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