Individual
MRS. LATEKA EDWARDS-WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 BROOKLAND CIR, COLUMBIA, SC 29204-1416
(803) 463-7063
Mailing address
145 BROOKLAND CIR, COLUMBIA, SC 29204-1416
(803) 463-7063
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/28/2009
Last updated
03/28/2009
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