Individual
PAUL FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 DESIGNER ST, KINGSTREE, SC 29556-5004
(843) 472-7401
Mailing address
20 DESIGNER ST, KINGSTREE, SC 29556-5004
(843) 472-7401
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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