Organization
JBG ELITE HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENITA GOODWIN (OWNER)
(803) 315-1064
Entity
Organization
Contact information
Practice address
117 WOODLANDS VILLAGE DR, COLUMBIA, SC 29229-2316
(803) 315-1604
Mailing address
117 WOODLANDS VILLAGE DR, COLUMBIA, SC 29229-2316
(803) 315-1604
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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