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Organization

CAROLINA HOMECARE MED EQ CTR INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JACKIE BOLT (OWNER)
(864) 271-8258
Entity
Organization

Contact information

Practice address
1136 GROVE RD, GREENVILLE, SC 29605-4620
(864) 271-8258
(864) 235-0523
Mailing address
1136 GROVE RD, GREENVILLE, SC 29605-4620
(864) 271-8258
(864) 235-0523

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
SC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
SC
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
SC

Other

Enumeration date
08/02/2006
Last updated
03/21/2008
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