Organization
CRESCENT HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY DOUGLAS RICHARDSON (MEMBER/OWNER)
(910) 690-0582
Entity
Organization
Contact information
Practice address
604 FRONT ST, GEORGETOWN, SC 29440-3624
(910) 690-0582
Mailing address
147 MCBRIDE RD., JACKSON SPRGS, NC 27281
(910) 690-0582
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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