Organization
INDEPENDENT LIVING HOME CARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA WILLIAMS (OWNER)
(704) 724-3713
Entity
Organization
Contact information
Practice address
8931 N DORCHESTER TRCE, FORT MILL, SC 29707-5882
(704) 724-3713
Mailing address
8931 N DORCHESTER TRCE, FORT MILL, SC 29707-5882
(704) 724-3713
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
SC
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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