Organization
CAROLINA HOMECARE MEDICAL EQUIPMENT CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE M BOLT (OWNER)
(864) 271-8258
Entity
Organization
Contact information
Practice address
134 GARNER RD STE B, SPARTANBURG, SC 29303-3132
(864) 327-1487
(864) 327-1491
Mailing address
134 GARNER RD STE B, SPARTANBURG, SC 29303-3132
(864) 327-1487
(864) 327-1491
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
SC
332BC3200X
Customized Equipment (DME)
—
SC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
SC
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
SC
Other
Enumeration date
08/04/2006
Last updated
07/21/2022
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