Organization
HOMECARE ADVANTAGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY S YOUNG (CEO)
(803) 772-2390
Entity
Organization
Contact information
Practice address
715 BETSY DR, SUITE 9B, COLUMBIA, SC 29210-7867
(803) 772-2390
(803) 772-2392
Mailing address
715 BETSY DR, SUITE 9B, COLUMBIA, SC 29210-7867
(803) 772-2390
(803) 772-2392
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX
—
SC
Enumeration date
06/23/2006
Last updated
07/15/2008
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