Organization
EXCELLENT HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DORIS ELAINE BIVINS (EXECUTIVE DIRECTOR)
(843) 662-7993
Entity
Organization
Contact information
Practice address
612 STONEYBROOK TER, FLORENCE, SC 29501-8850
(843) 662-7993
(843) 662-7995
Mailing address
181 E EVANS ST, C5, FLORENCE, SC 29506-2511
(843) 662-7993
(843) 662-7995
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
EX0889
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EXO889
—
SC
Enumeration date
10/18/2009
Last updated
10/18/2009
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