Organization
DEVOTED CARE AND TRANSITION SERVICES-HOSPICE, LLC
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBALE LANETTE MACK (OWNER)
(803) 764-1163
Entity
Organization
Contact information
Practice address
429 SPRING OAK LN, COLUMBIA, SC 29229-7165
(803) 764-1163
(803) 764-1164
Mailing address
429 SPRING OAK LN, COLUMBIA, SC 29229-7165
(803) 764-1163
(803) 764-1164
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336573526
—
SC
Enumeration date
09/23/2015
Last updated
09/23/2015
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