Individual
HELEN MELETTE PENDARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
128 MILLPORT CIR STE 200, GREENVILLE, SC 29607-5573
(864) 315-1762
Mailing address
128 MILLPORT CIR STE 200, GREENVILLE, SC 29607-5573
(864) 315-1762
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IHCO-1222
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IHCP-1222
SC DHEC
SC
Enumeration date
06/28/2020
Last updated
06/28/2020
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