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Organization

MMM HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS M TWITTY BUISNESS OWNER (ADMINISTRATOR)
(571) 449-0606
Entity
Organization

Contact information

Practice address
392 LANCASTER BYP E, LANCASTER, SC 29720-4759
(803) 285-2245
(803) 285-2247
Mailing address
3011 DREAM CATCHER CIR, FORT MILL, SC 29715-7099
(803) 285-2245

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
EN1890
SC
Enumeration date
05/19/2020
Last updated
03/17/2021
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