Organization
EXTENDED FAMILY HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAI-RENAY SCOTT (ADMINISTRATOR)
(843) 608-9048
Entity
Organization
Contact information
Practice address
3800 RIVERS AVE STE A, NORTH CHARLESTON, SC 29405-7067
(843) 608-9048
Mailing address
301 N GUM ST, SUMMERVILLE, SC 29483-6861
(843) 608-9048
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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