Organization
STATE OF SOUTH CAROLINA
Active
Other names
SC DHEC Midlands Home Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE A KIRKPATRICK LMSW (DIRECTOR/HOME HEALTH ADMINISTRATOR)
(803) 576-2916
Entity
Organization
Contact information
Practice address
2111 WILSON RD, NEWBERRY, SC 29108-1603
(803) 276-5818
(803) 276-0168
Mailing address
2111 WILSON RD, NEWBERRY, SC 29108-1603
(803) 276-5818
(803) 276-0168
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA--040
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153548
UNISON HEALTH PLAN OF SC
SC
05
—
191525
—
SC
01
—
20021665
SELECT HEALTH PROVIDER
SC
Enumeration date
07/26/2006
Last updated
07/09/2013
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