Organization
JOLEN LLC
Active
Other names
Upstate Medical & Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JO ANN HODGES (OWNER)
(864) 582-8998
Entity
Organization
Contact information
Practice address
2114 CHESNEE HWY, SUITE C, SPARTANBURG, SC 29303-2521
(864) 582-8998
(864) 582-8993
Mailing address
PO BOX 1371, SPARTANBURG, SC 29304-1371
(864) 582-8998
(864) 582-8993
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE18S5
—
SC
Enumeration date
06/28/2006
Last updated
07/15/2011
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