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Organization

NOVACARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TIFFANY LYNN SMITH CNA, MED TECH (OWNER)
(864) 705-8365
Entity
Organization

Contact information

Practice address
72 POULSON PL, LAURENS, SC 29360-5855
(864) 705-8365
Mailing address
PO BOX 84, FOUNTAIN INN, SC 29644-0084
(864) 705-8365

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
05/02/2025
Last updated
05/19/2025
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