Organization
DEFINITE DELIVERY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENISHA MOLE RN (OWNER)
(843) 862-2475
Entity
Organization
Contact information
Practice address
109 MARTIN LUTHER KING JR BLVD SOUTH, BUILDING A-2, ESTILL, SC 29918
(803) 943-8554
(803) 893-0021
Mailing address
PO BOX 1495, ESTILL, SC 29918-1495
(803) 943-8554
(803) 893-0021
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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