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Organization

JUSTICE HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DOMONIQUE W BASS (OWNER)
(803) 888-6037
Entity
Organization

Contact information

Practice address
1101 FIRST STREET SOUTH EXT STE D, COLUMBIA, SC 29209-3559
(803) 888-6037
(803) 888-6037
Mailing address
1101 FIRST STREET SOUTH EXT STE D, COLUMBIA, SC 29209-3559
(803) 888-6037
(803) 888-6037

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
385H00000X
Respite Care
385HR2065X
Child Physical Disabilities Respite Care
Primary

Other

Enumeration date
05/29/2025
Last updated
05/29/2025
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