Organization
COMMUNITY OF CARE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESTINEE RIVERS (OWNER)
(803) 837-2194
Entity
Organization
Contact information
Practice address
396 SAINT PAUL ST STE 107F, ORANGEBURG, SC 29115-5467
(803) 398-9778
Mailing address
396 SAINT PAUL ST STE 107F, ORANGEBURG, SC 29115-5467
(803) 398-9778
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/04/2023
Last updated
01/23/2023
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