Organization
E&L COLONIAL LLC
Active
Other names
Amada SC Coastal
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEWIS CO OWNER (COO)
(843) 800-0123
Entity
Organization
Contact information
Practice address
1156 BOWMAN RD UNIT 200, MT PLEASANT, SC 29464-3858
(843) 800-0123
(843) 800-0601
Mailing address
1156 BOWMAN RD UNIT 200, MT PLEASANT, SC 29464-3858
(843) 800-0123
(843) 800-0601
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IHCP-0695
DHEC IN HOME CARE PROVIDER LICENSE
SC
Enumeration date
08/31/2020
Last updated
10/14/2020
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