Organization
CONGAREE HOME MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL W. PHILLIPS (V. PRES)
(803) 939-0086
Entity
Organization
Contact information
Practice address
1307 STATE ST, CAYCE, SC 29033-4344
(803) 939-0086
(803) 939-0073
Mailing address
1307 STATE ST, CAYCE, SC 29033-4344
(803) 939-0086
(803) 939-0073
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
NONE REQUIRED IN SC
SC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
NOT REQUIRED IN SC
SC
332BX2000X
Oxygen Equipment & Supplies (DME)
65004626
SC
335E00000X
Prosthetic/Orthotic Supplier
NOT REQUIRED IN SC
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME864
—
SC
Enumeration date
06/18/2006
Last updated
09/11/2025
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