Organization
GROVE PARK PHARMACY HOSPICE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES P THOMPSON JR. (OWNER)
(803) 536-0007
Entity
Organization
Contact information
Practice address
1324 CHESTNUT STREET, ORANGEBURG, SC 29115
(803) 536-0007
Mailing address
PO BOX 701, ORANGEBURG, SC 29116-0701
(803) 536-0007
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HPC0155
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HPC0155
HOSPICE LICENSE
SC
05
—
HSP118
—
SC
Enumeration date
09/17/2010
Last updated
07/29/2022
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