Organization
CAPITAL CARE RESOURCES OF SOUTH CAROLINA, LLC
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(864) 297-5711
Entity
Organization
Contact information
Practice address
15 BRENDAN WAY, SUITE 250, GREENVILLE, SC 29615-3562
(864) 297-5711
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470172
—
SC
Enumeration date
06/30/2006
Last updated
09/06/2022
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