Organization
IDA MAE HOMECARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AVIS N BRICE (EXECUTIVE DIRECTOR)
(803) 429-1788
Entity
Organization
Contact information
Practice address
5 CALENDAR CT, COLUMBIA, SC 29206-4714
(803) 728-0144
Mailing address
5 CALENDAR CT STE 201F, COLUMBIA, SC 29206-4714
(803) 728-0144
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
03/20/2026
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