Organization
HEART OF THE CAROLINAS MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD ANDRE HARRISON JR. (CEO)
(864) 990-4345
Entity
Organization
Contact information
Practice address
511 WEST BUTLER ROAD SUITE E, GREENVILLE, SC 29607-4890
(864) 990-4345
(864) 751-4201
Mailing address
511 WEST BUTLER ROAD SUITE E, GREENVILLE, SC 29607-4890
(864) 990-4345
(864) 751-4201
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
EN2056
SC
332B00000X
Durable Medical Equipment & Medical Supplies
DE3254
SC
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EN2056
—
SC
Enumeration date
10/13/2009
Last updated
08/28/2012
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