Individual
MRS. CHEVADREA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 HARLEY CIR, CROSS, SC 29436-3583
(843) 826-5057
Mailing address
206 HARLEY CIR, CROSS, SC 29436-3583
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
10/11/2021
Last updated
01/17/2024
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