Organization
STATEWIDE NURSING SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY L WALKER (ADMINISTRATOR)
(803) 438-6942
Entity
Organization
Contact information
Practice address
728B DEWITT DR, LUGOFF, SC 29078-9069
(803) 438-6942
(803) 408-9508
Mailing address
PO BOX 460, LUGOFF, SC 29078-0460
(803) 438-6942
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
SC
251J00000X
Nursing Care Agency
Primary
—
SC
251S00000X
Community/Behavioral Health Agency
—
SC
Other
Enumeration date
02/27/2009
Last updated
02/27/2009
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