Individual
VILMA HOWARD LUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
203 JUNALUSKA WAY, GREENVILLE, SC 29609-1663
(864) 517-7201
Mailing address
203 JUNALUSKA WAY, GREENVILLE, SC 29609-1663
(864) 517-7201
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3477
SC
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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