Organization
NCSC HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUSUF MUHAMMAD (PRESIDNT)
(803) 792-9211
Entity
Organization
Contact information
Practice address
1565 EBENEZER RD STE 111, ROCK HILL, SC 29732-3421
(803) 792-9211
(803) 693-5465
Mailing address
1565 EBENEZER RD STE 111, ROCK HILL, SC 29732-3421
(803) 792-9211
(803) 693-5465
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX1460
—
SC
01
—
IHCP-0596
DHEC
SC
Enumeration date
01/29/2019
Last updated
01/29/2019
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