Organization
ABACARE HOME MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP DECLEMENTE (CHIEF OPERATING OFFICER)
(843) 375-2870
Entity
Organization
Contact information
Practice address
2353 HWY 17 NORTH, MOUNT PLEASANT, SC 29466-6807
(843) 375-2870
(843) 388-2550
Mailing address
2353 HWY 17 NORTH, MOUNT PLEASANT, SC 29466-6807
(843) 375-2870
(843) 388-2550
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
010730667
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME2513
—
SC
Enumeration date
08/31/2006
Last updated
11/15/2007
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