Organization
POTTERS OF EDEN , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON DESIREE SMITH (OWNER)
(864) 345-2607
Entity
Organization
Contact information
Practice address
1 REAL ESTATE WAY # B14, SPARTANBURG, SC 29302-1969
(864) 345-2607
(864) 428-1213
Mailing address
1 REAL ESTATE WAY # B14, SPARTANBURG, SC 29302-1969
(864) 345-2607
(864) 428-1213
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86323797
IN HOME CARE SERVICE
SC
Enumeration date
07/30/2021
Last updated
07/30/2021
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