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Organization

IN-HOME ASSISTED LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WALTER T JAMISON (DIRECTOR)
(864) 214-3794
Entity
Organization

Contact information

Practice address
500 MILLS AVE STE C, GREENVILLE, SC 29605-4280
(864) 214-3794
(864) 412-5535
Mailing address
500 MILLS AVE STE C, GREENVILLE, SC 29605-4280
(864) 214-3794
(864) 412-5535

Taxonomy

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

Other

Enumeration date
01/25/2024
Last updated
01/14/2025
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