Organization
SCC HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A COUSAR (OWNER)
(443) 735-8758
Entity
Organization
Contact information
Practice address
425 OXFORD ST, POCOMOKE CITY, MD 21851-1155
(443) 735-8758
Mailing address
425 OXFORD ST, POCOMOKE CITY, MD 21851-1155
(443) 735-8758
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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