Organization
NIKKIEDA CHANEL ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKIEDA MCALISTER (EXECUTIVE DIRECTOR)
(803) 908-1878
Entity
Organization
Contact information
Practice address
160 COUNTRY HAVEN RD, HOPKINS, SC 29061-8479
(803) 908-1878
Mailing address
160 COUNTRY HAVEN RD, HOPKINS, SC 29061-8479
(803) 908-1878
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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