Organization
MA UPSTATE PROFESSIONALS LLC
Active
Other names
Acti-Kare
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY MA (DIRECTOR)
(864) 804-1219
Entity
Organization
Contact information
Practice address
113 AMANDA DR, ANDERSON, SC 29621-2406
(864) 202-2028
Mailing address
113 AMANDA DR, ANDERSON, SC 29621-2406
(864) 202-2028
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
06/19/2023
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