Organization
MACK'S LOVING CARE
Active
Other names
Mack's Senior Loving Care
Organization subpart
No
Provider details
NPI number
Authorized official
NIKITA SMITH MACK (HEALTHCARE ADMINISTRATOR)
(803) 250-7396
Entity
Organization
Contact information
Practice address
55 CROOKED CREEK PLACE, COLUMBIA, SC 29229
(803) 250-7396
Mailing address
55 CROOKED CREEK PLACE, COLUMBIA, SC 29229
(803) 250-7396
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2016-51567-50461
SC
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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