Organization
OPTIMUM CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHERRIE JOHNSON (ADMINISTRATION)
(864) 634-8555
Entity
Organization
Contact information
Practice address
802 N MAIN ST, ANDERSON, SC 29621-5525
(864) 634-8555
Mailing address
802 N MAIN ST, ANDERSON, SC 29621-5525
(864) 634-8555
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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