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Organization

HOMEWATCH CAREGIVERS OF ROCK HILL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAWN SMITH (PRESIDENT)
(803) 752-4724
Entity
Organization

Contact information

Practice address
2342 EBENEZER RD STE A, ROCK HILL, SC 29732-8256
(803) 752-4724
(803) 752-4724
Mailing address
PO BOX 37076, ROCK HILL, SC 29732-0517
(803) 752-4724
(803) 752-4724

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
385H00000X
Respite Care
385HR2055X
Child Mental Illness Respite Care
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
385HR2065X
Child Physical Disabilities Respite Care

Other

Enumeration date
01/04/2019
Last updated
01/04/2019
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