Organization
AJM HOMECARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELZARIE INEZ WYNN (OWNER)
(864) 386-7945
Entity
Organization
Contact information
Practice address
112 N 1ST AVE, DILLON, SC 29536-3428
(843) 627-3482
(843) 627-3560
Mailing address
902 WEST ST, DILLON, SC 29536-3953
(843) 627-3482
(843) 627-3560
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
EX1084
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX1084
—
SC
Enumeration date
09/17/2014
Last updated
09/17/2014
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