Organization
FAMCARE CONNECT OF SOUTH CAROLINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LANE (DIRECTOR OF ADMINISTRATION)
(770) 633-8550
Entity
Organization
Contact information
Practice address
1172 OLD SALEM RD SE, CONYERS, GA 30094-5944
(770) 633-8550
Mailing address
107 N OAK ST, SENECA, SC 29678-3219
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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