Organization
PDS HOME HEALTH CARE AND MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PRINSCILLIA DENISE SUMPTER (CERTIFIED NURSE ASSISTANT)
(843) 518-7238
Entity
Organization
Contact information
Practice address
109 CHILDRENS LANE, ST. STEPHENS, SC 29479-0109
(843) 518-7238
Mailing address
PO BOX 9, RUSSELLVILLE, SC 29476-0009
(843) 518-7238
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
116708
SC
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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