Organization
PALMETTO HOME CARE SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI HALL LPN (OWNER)
(864) 962-3085
Entity
Organization
Contact information
Practice address
134 BORDER AVE, SIMPSONVILLE, SC 29680-7388
(864) 438-0560
(864) 228-7799
Mailing address
879 NE MAIN ST STE B, SIMPSONVILLE, SC 29681-2056
(864) 962-3085
(865) 962-3095
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
26552
SC
253Z00000X
In Home Supportive Care Agency
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX1743
—
SC
Enumeration date
07/19/2018
Last updated
11/06/2020
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