Organization
PERSONALIZED HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATAUSHA BLAKLEY (OWNER)
(864) 787-7891
Entity
Organization
Contact information
Practice address
501 W BUTLER RD STE A2, GREENVILLE, SC 29607-4879
(864) 552-1042
(864) 552-1052
Mailing address
501 W BUTLER RD STE A2, GREENVILLE, SC 29607-4879
(864) 552-1042
(864) 552-1052
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
09/16/2020
Last updated
01/04/2022
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