Organization
LOWCOUNTY NURSING GROUP
Active
Other names
Interim Healthcare - Regional Office
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN COSTANZO RN (DIRECTOR OF HEALTH CARE SERVICES)
(843) 569-5510
Entity
Organization
Contact information
Practice address
1064 GARDNER RD, SUITE 116, CHARLESTON, SC 29407-5768
(843) 569-5510
Mailing address
1064 GARDNER RD, SUITE 116, CHARLESTON, SC 29407-5768
(843) 569-5510
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GO55
—
SC
Enumeration date
03/27/2008
Last updated
03/27/2008
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