Organization
GENERATION HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOLOMON KING (OWNER)
(228) 276-9705
Entity
Organization
Contact information
Practice address
103 CLOGHER HEAD WAY, GOOSE CREEK, SC 29445-5757
(228) 276-9705
Mailing address
103 CLOGHER HEAD WAY, GOOSE CREEK, SC 29445-5757
(228) 276-9705
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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