Individual
LARRY TIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1312 W EVANS ST, FLORENCE, SC 29501-3324
(843) 667-6636
Mailing address
3815 ERVIN THOMAS RD, EFFINGHAM, SC 29541-3957
(843) 319-1543
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
CRC2232
SC
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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