Individual
MRS. DANNAH MITCHELL FARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
880 S PLEASANTBURG DR STE 2E, GREENVILLE, SC 29607-2451
(864) 370-7200
(864) 370-7200
Mailing address
106 E BUTLER RD STE A, MAULDIN, SC 29662-2154
(864) 676-0020
(864) 676-0021
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
88004
SC
253Z00000X
In Home Supportive Care Agency
Primary
IHCP-0086
SC
305R00000X
Preferred Provider Organization
88004
SC
3747P1801X
Personal Care Attendant
88004
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0801
—
SC
01
—
IHCP-0086
DHEC
SC
Enumeration date
10/02/2006
Last updated
10/17/2019
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