Organization
SHANTILAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANSI PATEL (OWNER)
(864) 279-5967
Entity
Organization
Contact information
Practice address
3415 HIGHWAY 701 N UNIT B, CONWAY, SC 29526-5735
(864) 279-5967
Mailing address
2408 WESTBROOK DR, CONWAY, SC 29527-3150
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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