Organization
OM GROUP OF COMPANIES
Active
Other names
WE CARE HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRUTIKA SHAH (OWNER)
(843) 488-2972
Entity
Organization
Contact information
Practice address
800 LEGION ST, SUITE 101B, CONWAY, SC 29526-4825
(843) 488-2972
(843) 488-2973
Mailing address
800 LEGION ST, SUITE 101B, CONWAY, SC 29526-4825
(843) 488-2972
(843) 488-2973
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHCP-0122
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EX1403
SCDHHS COMMUNITY LONG TERM CARE PROVIDER
SC
Enumeration date
07/19/2016
Last updated
07/19/2016
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