Organization
NEW LIFE CARE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PORTERESHICE SHUNTA BRABHAM (OWNER)
(803) 686-0632
Entity
Organization
Contact information
Practice address
411 MAIN ST N, ALLENDALE, SC 29810-3717
(803) 686-0632
Mailing address
411 MAIN ST N, ALLENDALE, SC 29810-3717
(803) 686-0632
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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