Organization
LITCHFIELD REITREMENT, LLC
Active
Other names
Live Long WellCare of Litchfield
Organization subpart
No
Provider details
NPI number
Authorized official
DARIA JEFFERS RN (HOME HEALTH ADMINISTRATOR)
(843) 235-2422
Entity
Organization
Contact information
Practice address
120 LAKES AT LITCHFIELD DR, PAWLEYS ISLAND, SC 29585-5502
(843) 235-2422
Mailing address
120 LAKES AT LITCHFIELD DR, PAWLEYS ISLAND, SC 29585-5502
(843) 235-2422
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA-0204
SC
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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