Organization
PROVIDENCE HOUSE CALLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH TAYLOR (BILLING ADMINISTRATOR)
(803) 372-5884
Entity
Organization
Contact information
Practice address
500 LAKESHORE PKWY, ROCK HILL, SC 29730-4273
(803) 818-6955
(803) 818-6993
Mailing address
PO BOX 10984, ROCK HILL, SC 29731-0984
(844) 628-2273
(803) 372-5911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/29/2013
Last updated
02/13/2026
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