Organization
SELF REGIONAL HEALTHCARE
Active
Other names
Home Health Services of SRH
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW T LOGAN MD (PRESIDENT AND CEO)
(864) 725-4253
Entity
Organization
Contact information
Practice address
105 VINECREST CT # 400, GREENWOOD, SC 29646-8031
(864) 725-7600
(864) 725-7638
Mailing address
1325 SPRING STREET, GREENWOOD, SC 29646
(864) 725-7600
(864) 725-7638
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
038
SC
251E00000X
Home Health Agency
Primary
HHA0049
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4270181
—
SC
Enumeration date
07/29/2006
Last updated
12/14/2021
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