Organization
AHAVA HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES E SLOAN JR. CFO (CHIEF FINANCIAL OFFICER)
(803) 794-3269
Entity
Organization
Contact information
Practice address
7505 IRMO DR, COLUMBIA, SC 29212-8637
(803) 794-3269
(803) 791-1634
Mailing address
7505 IRMO DRIVE, COLUMBIA, SC 29212
(803) 794-3269
(803) 791-1634
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HPC-0151
DHEC LICENSE NUMBER
SC
Enumeration date
05/18/2010
Last updated
06/07/2011
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