Organization
IN HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE ELLEN PAYNE (OWNER)
(843) 795-6887
Entity
Organization
Contact information
Practice address
1140 CLEARSPRING DR, CHARLESTON, SC 29412-9670
(843) 795-6887
Mailing address
520 FOLLY RD, SUITE-P, # 187, CHARLESTON, SC 29412-3019
(843) 795-6887
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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