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Organization

EDISTO HOME CARE & HOSPICE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN JACKSON (VICE PRESIDENT)
(803) 707-3795
Entity
Organization

Contact information

Practice address
1180 BOULEVARD ST, SUITE C, ORANGEBURG, SC 29115-4312
(803) 707-3795
(803) 997-2880
Mailing address
1180 BOULEVARD ST, SUITE C, ORANGEBURG, SC 29115-4312
(803) 707-3795
(803) 997-2880

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
04/21/2017
Last updated
04/21/2017
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