Organization
FORT MILL HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE RAY CHAVIS (OWNER)
(803) 802-3931
Entity
Organization
Contact information
Practice address
7223 KENDALLWOOD CT, FORT MILL, SC 29715-6219
(803) 802-3931
Mailing address
7223 KENDALLWOOD CT, FORT MILL, SC 29715-6219
(803) 802-3931
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IHCP0685
SC
Other
Enumeration date
07/26/2017
Last updated
07/21/2022
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