Organization
NOVA HEALTHCARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL BRYANT (DIRECTOR)
(843) 908-9796
Entity
Organization
Contact information
Practice address
2712 MIDDLEBURG DR STE 104-356, COLUMBIA, SC 29204-2415
(843) 908-9796
Mailing address
2712 MIDDLEBURG DR STE 104-356, COLUMBIA, SC 29204-2415
(843) 908-9796
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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