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Organization

PASSIONATE CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALISHA CLEONADA DAVIS (OWNER/CAREGIVER)
(803) 616-5324
Entity
Organization

Contact information

Practice address
868 DILLARD RD, ROCK HILL, SC 29730-7074
(803) 616-5324
Mailing address
868 DILLARD RD, ROCK HILL, SC 29730-7074
(803) 616-5324

Taxonomy

Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
SC

Other

Enumeration date
03/17/2017
Last updated
03/17/2017
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