Organization
DISTINGUISHED DIRECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAREKIA FELDER WEARING (OWNER)
(843) 779-5752
Entity
Organization
Contact information
Practice address
324 WILDOL ST, HOLLY HILL, SC 29059-8545
(803) 971-1585
Mailing address
324 WILDOL ST, HOLLY HILL, SC 29059-8545
(803) 971-1585
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
04/02/2015
Last updated
04/09/2015
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