Organization
OPTIMUM PERSONAL CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. APRIL MICHELLE CHAVIS LPN (ADMINISTRATOR)
(910) 347-4492
Entity
Organization
Contact information
Practice address
226A E MAIN ST, DILLON, SC 29536-3440
(910) 374-4492
(843) 487-5058
Mailing address
226A E MAIN ST, DILLON, SC 29536-3440
(910) 374-4492
(843) 487-5058
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
06/10/2021
Last updated
12/21/2022
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