Organization
PLEASANTVILLE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SELENA WITHERSPOON (AUTHORIZED OFFICIAL)
(843) 231-2034
Entity
Organization
Contact information
Practice address
5033 DICK POND RD UNIT A, MYRTLE BEACH, SC 29588-9680
(843) 220-0050
Mailing address
PO BOX 83, CONWAY, SC 29528-0083
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
07/11/2025
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