Organization
DEVOTED CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBALE LANETTE MACK (OWNER/OPERATOR)
(803) 479-6297
Entity
Organization
Contact information
Practice address
7340 PARKLANE RD STE 203, COLUMBIA, SC 29223-7644
(803) 763-1163
(803) 764-1164
Mailing address
7340 PARKLANE RD STE 203, COLUMBIA, SC 29223-7644
(803) 764-1163
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/25/2013
Last updated
10/06/2020
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