Organization
AT HOME HEALTH CARE,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANESSA ARZELLA MASON REGISTERED NURSE (OWNER/DIRECTOR)
(864) 269-4447
Entity
Organization
Contact information
Practice address
613 CELY RD, EASLEY, SC 29642-9320
(864) 269-4447
(864) 269-4448
Mailing address
613 CELY RD, EASLEY, SC 29642-9320
(864) 269-4447
(864) 269-4448
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
89266
SC
253Z00000X
In Home Supportive Care Agency
Primary
89266
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0916
—
SC
Enumeration date
01/30/2009
Last updated
01/30/2009
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