Individual
DANNA DUBOSE COE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1575 WINDING RIDGE DRIVE, HARTSVILLE, SC 29550
(843) 639-7740
Mailing address
1575 WINDING RIDGE DRIVE, HARTSVILLE, SC 29550
(843) 639-7740
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
100709
SC
Other
Enumeration date
08/18/2018
Last updated
04/30/2024
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