Individual
LAKISHA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
306 ADAMS MILL RD, SIMPSONVILLE, SC 29681-4731
(864) 325-7185
Mailing address
306 ADAMS MILL RD, SIMPSONVILLE, SC 29681-4731
(864) 325-7185
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHCP-1659
SC
374U00000X
Home Health Aide
IHCP-1659
SC
Other
Enumeration date
06/15/2022
Last updated
07/06/2022
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