Organization
HOMECARE SOUTH
Active
Other names
Homecare South Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTIE CULBREATH (OWNER)
(803) 275-9480
Entity
Organization
Contact information
Practice address
340 LEE ST, JOHNSTON, SC 29832-1433
(803) 275-9480
(803) 275-9481
Mailing address
340 LEE ST, JOHNSTON, SC 29832-1433
(803) 275-9480
(803) 275-9481
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
314000000X
Skilled Nursing Facility
Primary
001544
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX1675
—
SC
Enumeration date
05/29/2009
Last updated
05/22/2023
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