Organization
LOGISTICAL MED AND BEYOND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHADON TIARA FIELDS LPN (MANAGER)
(803) 837-8791
Entity
Organization
Contact information
Practice address
300 LONG POINTE LN STE 220-J, COLUMBIA, SC 29229-7543
(803) 837-8791
Mailing address
175 ASHEWICKE DR, COLUMBIA, SC 29229-7058
(803) 837-8791
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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