Organization
ATLANTIC HEALTHCARE GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN KEMPSKI (ADMINISTRATOR)
(843) 488-4001
Entity
Organization
Contact information
Practice address
911 CREEL ST, CONWAY, SC 29527-5001
(843) 488-4001
(843) 488-4005
Mailing address
911 CREEL ST, CONWAY, SC 29527-5001
(843) 488-4001
(843) 488-4005
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0189
—
SC
Enumeration date
06/26/2006
Last updated
08/05/2009
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