Organization
BURGESS RESIDENTIAL CARE
Active
Other names
M & M Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY BURGESS (OWNER)
(843) 496-0813
Entity
Organization
Contact information
Practice address
2591 S BREHENAN DR, FLORENCE, SC 29505-6203
(843) 496-0813
Mailing address
2591 S BREHENAN DR, 2591 BREHENAN DR., FLORENCE, SC 29505-6203
(843) 665-6843
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/02/2008
Last updated
06/21/2019
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