Organization
COMPANION CAREGIVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATASHA MICHELLE PRIMUS (OWNER)
(864) 277-4027
Entity
Organization
Contact information
Practice address
1 N BEAVER LN, GREENVILLE, SC 29605-2552
(864) 277-4027
Mailing address
1 N BEAVER LN, GREENVILLE, SC 29605-2552
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0700024378
SC
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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