Individual
LARHONDA MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 2ND LOOP RD STE 9, FLORENCE, SC 29501-6180
(843) 468-6216
Mailing address
410 SANBORN ST, FLORENCE, SC 29501-2515
(843) 468-6216
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
202365
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82-0742910
—
SC
Enumeration date
03/10/2017
Last updated
03/10/2017
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