Organization
HEART OF GRACE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATEJA PRENESE WILLIAMS I CNA (OWNER)
(843) 254-9671
Entity
Organization
Contact information
Practice address
3110 PINEWOOD DR, LORIS, SC 29569-2212
(843) 254-9671
(843) 756-0718
Mailing address
3110 PINEWOOD DR, LORIS, SC 29569-2212
(843) 254-9671
(843) 756-0718
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/14/2022
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