Organization
CAPITAL CARE RESOURCES OF SOUTH CAROLINA, LLC
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(803) 276-0273
Entity
Organization
Contact information
Practice address
185 EXECUTIVE DR UNIT B, NEWBERRY, SC 29108-2952
(803) 276-0273
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA-0040
SC
Other
Enumeration date
12/02/2015
Last updated
09/06/2022
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