Individual
MARVA SHARICA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
528 BROAD ST STE 202, SUMTER, SC 29150-3368
(803) 883-5047
(803) 883-5047
Mailing address
528 BROAD ST STE 202, SUMTER, SC 29150-3368
(803) 883-5047
(803) 883-5047
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
SC
251E00000X
Home Health Agency
Primary
—
—
251T00000X
PACE Provider Organization
—
SC
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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