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Organization

LIFE QUALITY HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES THOMAS WINGARD III (ADMINISTRATOR)
(843) 458-4601
Entity
Organization

Contact information

Practice address
4265 DUCK CLUB RD, RAVENEL, SC 29470-3318
(843) 501-0211
(888) 887-5076
Mailing address
4265 DUCK CLUB RD, RAVENEL, SC 29470-3318
(843) 501-0211
(888) 887-5076

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
09/24/2013
Last updated
09/24/2013
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