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Organization

DOMINION HEALTH CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BOBBY JAMES HENDLEY (ADMINSTRATOR)
(843) 413-0182
Entity
Organization

Contact information

Practice address
510 HICKORY GROVE CIR, FLORENCE, SC 29501-0810
(843) 413-0182
(843) 413-0186
Mailing address
510 HICKORY GROVE CIR, FLORENCE, SC 29501-0810
(843) 413-0182
(843) 413-0186

Taxonomy

Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
SC
332B00000X
Durable Medical Equipment & Medical Supplies
332BC3200X
Customized Equipment (DME)
SC
332BD1200X
Dialysis Equipment & Supplies (DME)
SC
332BN1400X
Nursing Facility Supplies (DME)
SC
332BX2000X
Oxygen Equipment & Supplies (DME)
SC

Other

Enumeration date
12/11/2008
Last updated
12/11/2008
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