Organization
XTREME HOME CARE OF THE UPSTATE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FIELDS (CO-OWNER)
(864) 276-6525
Entity
Organization
Contact information
Practice address
716 ANDERSON ST STE B, BELTON, SC 29627-2148
(864) 276-6525
Mailing address
PO BOX 479, BELTON, SC 29627-0479
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/14/2023
Last updated
02/05/2024
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