Organization
LALA'S HOME HEALTHCARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA RENITA FENNELL (OWNER/OPERATOR)
(843) 539-8623
Entity
Organization
Contact information
Practice address
5291 MAIN NURSERY RD, HOLLYWOOD, SC 29449-6708
(843) 539-8623
Mailing address
PO BOX 871, HOLLYWOOD, SC 29449-0871
(843) 539-8623
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
589205770
HOME HEALTHCARE
NY
Enumeration date
07/17/2018
Last updated
07/17/2018
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