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)
(803) 731-2365
Entity
Organization
Contact information
Practice address
2000 CENTER POINT RD, SUITE 2300, COLUMBIA, SC 29210-5812
(803) 731-2365
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
—
470617
—
SC
Enumeration date
06/26/2006
Last updated
09/06/2022
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