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Organization

EBONY P CLAYBORNE

Active
Other names
In Loving Hands Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
MISS EBONY P CLAYBORNE (OWNER)
(864) 606-8327
Entity
Organization

Contact information

Practice address
2320 E NORTH ST, SUITE AA-DD ROOM 111, GREENVILLE, SC 29607-1247
(864) 606-8327
(864) 751-5909
Mailing address
2320 E NORTH ST, SUITE AA-DD ROOM 111, GREENVILLE, SC 29607-1247
(864) 606-8327
(864) 751-5909

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHCP-0538
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
IHCP-0538
DHEC LICENSURE
SC
Enumeration date
04/04/2016
Last updated
04/04/2016
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