Individual
FREDRICKA OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 7TH AVE STE A, AYNOR, SC 29511-3142
(843) 358-0038
(843) 358-0050
Mailing address
625 7TH AVE STE A, AYNOR, SC 29511-3142
(843) 358-0038
(843) 358-0050
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LI-506
SC
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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