Organization
AT HOME PROFESSIONAL CARE OF SC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUBREY ATALIA JACKSON BA (CEO)
(864) 631-1733
Entity
Organization
Contact information
Practice address
1 CHICK SPRINGS RD STE 102A, GREENVILLE, SC 29609-4946
(864) 631-1733
(864) 451-7227
Mailing address
1 CHICK SPRINGS RD STE 102A, GREENVILLE, SC 29609-4946
(864) 631-1733
(864) 451-7227
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251E00000X
—
SC
Enumeration date
05/01/2019
Last updated
05/01/2019
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